| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.25 | $203.39 | $321.83 | |
Cigna
| Professional | $237.02 | $264.35 | $270.20 | |
HMSA
| Professional | $246.47 | $276.63 | $325.80 | |
Kaiser Permanente
| Professional | $222.04 | $242.22 | $282.58 | |
United
| Professional | $210.44 | $257.89 | $337.64 | |
University Health Alliance
| Professional | $153.72 | $186.67 | $254.75 |