| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $196.09 | $196.09 | $196.09 | |
Cigna
| Professional | $203.81 | $203.81 | $203.81 | |
HMSA
| Professional | $218.93 | $218.93 | $218.93 | |
Kaiser Permanente
| Professional | $179.27 | $195.57 | $228.17 | |
United
| Professional | $179.94 | $218.36 | $244.47 | |
University Health Alliance
| Professional | $121.73 | $143.21 | $156.96 |