| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.82 | $138.34 | $158.37 | |
Cigna
| Professional | $140.37 | $173.69 | $299.48 | |
HMSA
| Professional | $166.77 | $191.41 | $225.63 | |
Kaiser Permanente
| Professional | $142.15 | $160.91 | $187.74 | |
United
| Professional | $124.31 | $166.43 | $261.54 | |
University Health Alliance
| Professional | $102.35 | $148.40 | $186.54 |