| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.21 | $184.73 | $450.68 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
HMSA
| Professional | $168.21 | $168.21 | $168.21 | |
Kaiser Permanente
| Professional | $195.31 | $213.07 | $248.58 | |
United
| Professional | $186.90 | $201.96 | $233.63 | |
University Health Alliance
| Professional | $119.73 | $140.86 | $163.54 |