| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.82 | $119.82 | $119.82 | |
Cigna
| Professional | $234.43 | $264.56 | $292.83 | |
HMSA
| Professional | $60.18 | $342.89 | $379.30 | |
Kaiser Permanente
| Professional | $191.02 | $208.38 | $217.06 | |
United
| Professional | $234.43 | $302.02 | $320.26 | |
University Health Alliance
| Professional | $215.16 | $295.88 | $503.51 |