| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $250.00 | $272.80 | $929.55 | |
Cigna
| Professional | $269.49 | $269.49 | $269.49 | |
HMSA
| Professional | $259.74 | $259.74 | $259.74 | |
Kaiser Permanente
| Professional | $287.26 | $313.38 | $365.60 | |
United
| Professional | $288.60 | $304.27 | $360.93 | |
University Health Alliance
| Professional | $192.86 | $226.89 | $240.66 |