| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $158.49 | $275.42 | |
Cigna
| Professional | $190.55 | $263.03 | $426.58 | |
HMSA
| Professional | $234.42 | $288.40 | $288.40 | |
Kaiser Permanente
| Professional | $223.87 | $245.47 | $281.84 | |
United
| Professional | $162.18 | $288.40 | $331.13 | |
University Health Alliance
| Professional | $229.09 | $295.12 | $478.63 |