| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $280.88 | $325.55 | $630.82 | |
Cigna
| Professional | $235.88 | $326.39 | $450.80 | |
HMSA
| Professional | $185.11 | $252.58 | $546.60 | |
Kaiser Permanente
| Professional | $287.74 | $338.52 | $394.94 | |
Kaiser Permanente
| Professional | 26 | $235.24 | $276.76 | $322.88 |
United
| Professional | $275.64 | $352.63 | $750.64 | |
University Health Alliance
| Professional | $260.38 | $349.22 | $457.17 |