| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.28 | $224.18 | $321.39 | |
Cigna
| Professional | $236.25 | $263.38 | $267.76 | |
HMSA
| Professional | $245.53 | $275.33 | $324.55 | |
Kaiser Permanente
| Professional | $222.64 | $242.88 | $283.36 | |
United
| Professional | $210.24 | $257.64 | $334.55 | |
University Health Alliance
| Professional | $153.78 | $186.73 | $254.83 |