| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.84 | $281.84 | $281.84 | |
Cigna
| Professional | $389.05 | $389.05 | $389.05 | |
HMSA
| Professional | $346.74 | $346.74 | $346.74 | |
Kaiser Permanente
| Professional | $309.03 | $338.84 | $389.05 | |
United
| Professional | $338.84 | $416.87 | $831.76 | |
University Health Alliance
| Professional | $234.42 | $275.42 | $288.40 |