| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.65 | $270.00 | $498.84 | |
Cigna
| Professional | $253.60 | $253.60 | $253.60 | |
HMSA
| Professional | $244.41 | $244.41 | $244.41 | |
Kaiser Permanente
| Professional | $283.79 | $309.58 | $361.18 | |
United
| Professional | $271.57 | $309.58 | $386.99 | |
University Health Alliance
| Professional | $202.09 | $237.75 | $257.99 |