| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.29 | $97.79 | $517.17 | |
Cigna
| Professional | $232.13 | $319.89 | $460.95 | |
HMSA
| Professional | $395.82 | $454.97 | $543.13 | |
Kaiser Permanente
| Professional | $313.45 | $368.76 | $430.22 | |
United
| Professional | $75.77 | $194.40 | $384.13 | |
University Health Alliance
| Professional | $58.10 | $96.28 | $623.86 |