| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $213.80 | $549.54 | |
Cigna
| Professional | $177.83 | $302.00 | $371.54 | |
HMSA
| Professional | $407.38 | $457.09 | $537.03 | |
Kaiser Permanente
| Professional | $323.59 | $380.19 | $436.52 | |
United
| Professional | $109.65 | $316.23 | $398.11 | |
University Health Alliance
| Professional | $70.79 | $102.33 | $389.05 |