| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.51 | $184.87 | $378.16 | |
Cigna
| Professional | $340.22 | $340.22 | $340.22 | |
HMSA
| Professional | $359.56 | $413.70 | $486.46 | |
Kaiser Permanente
| Professional | $370.30 | $403.97 | $471.30 | |
United
| Professional | $259.64 | $379.70 | $487.20 | |
University Health Alliance
| Professional | $227.36 | $276.08 | $376.77 |