| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.97 | $208.93 | $263.03 | |
Cigna
| Professional | $234.42 | $263.03 | $338.84 | |
HMSA
| Professional | $263.03 | $288.40 | $380.19 | |
Kaiser Permanente
| Professional | $194.98 | $245.47 | $295.12 | |
United
| Professional | $173.78 | $251.19 | $331.13 | |
University Health Alliance
| Professional | $154.88 | $186.21 | $257.04 |