| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.50 | $152.86 | $250.22 | |
Cigna
| Professional | $180.41 | $200.61 | $203.05 | |
HMSA
| Professional | $187.03 | $209.74 | $247.23 | |
Kaiser Permanente
| Professional | $173.27 | $189.02 | $220.53 | |
United
| Professional | $161.74 | $200.61 | $253.68 | |
University Health Alliance
| Professional | $115.49 | $140.22 | $191.38 |