| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $207.14 | $207.14 | $207.14 | |
Cigna
| Professional | $219.62 | $219.62 | $219.62 | |
HMSA
| Professional | $211.64 | $211.64 | $211.64 | |
Kaiser Permanente
| Professional | $180.86 | $197.31 | $230.19 | |
United
| Professional | $189.78 | $235.16 | $246.63 | |
University Health Alliance
| Professional | $124.38 | $146.33 | $158.15 |