| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.72 | $189.67 | $248.86 | |
Cigna
| Professional | $198.09 | $198.09 | $198.09 | |
HMSA
| Professional | $231.00 | $334.16 | $393.13 | |
Kaiser Permanente
| Professional | $158.05 | $184.39 | $221.86 | |
United
| Professional | $198.09 | $648.94 | $648.94 | |
University Health Alliance
| Professional | $136.47 | $228.40 | $357.95 |