| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.34 | $253.75 | $1,125.00 | |
Cigna
| Professional | $337.97 | $337.97 | $337.97 | |
HMSA
| Professional | $319.52 | $367.64 | $432.30 | |
Kaiser Permanente
| Professional | $329.08 | $358.99 | $418.82 | |
United
| Professional | $251.35 | $339.45 | $432.96 | |
University Health Alliance
| Professional | $202.05 | $245.34 | $334.82 |