| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.81 | $289.20 | $329.99 | |
Cigna
| Professional | $160.78 | $230.53 | $410.79 | |
HMSA
| Professional | $364.01 | $417.80 | $498.75 | |
Kaiser Permanente
| Professional | $188.11 | $221.30 | $258.19 | |
United
| Professional | $188.11 | $228.94 | $362.14 | |
University Health Alliance
| Professional | $181.32 | $247.45 | $474.08 |