| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $190.55 | $234.42 | |
Aetna
| Professional | $107.15 | $165.96 | $245.47 | |
Cigna
| Professional | $102.33 | $107.15 | $234.42 | |
HMSA
| Professional | $194.98 | $229.09 | $239.88 | |
Kaiser Permanente
| Professional | $213.80 | $234.42 | $288.40 | |
United
| Professional | $97.72 | $194.98 | $288.40 | |
University Health Alliance
| Professional | $229.09 | $302.00 | $436.52 |