| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.13 | $273.45 | $384.75 | |
Cigna
| Professional | $288.17 | $321.37 | $327.71 | |
HMSA
| Professional | $299.52 | $335.40 | $395.93 | |
Kaiser Permanente
| Professional | $269.67 | $294.18 | $343.21 | |
United
| Professional | $254.98 | $312.48 | $409.37 | |
University Health Alliance
| Professional | $187.22 | $227.33 | $310.24 |