| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.06 | $186.06 | $241.93 | |
Cigna
| Professional | $184.11 | $245.73 | $861.80 | |
HMSA
| Professional | $191.50 | $219.79 | $247.42 | |
Kaiser Permanente
| Professional | $204.77 | $245.72 | $286.68 | |
United
| Professional | $151.66 | $221.15 | $304.35 | |
University Health Alliance
| Professional | $150.75 | $183.06 | $249.82 |