| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $284.83 | $348.75 | $487.99 | |
Cigna
| Professional | $367.52 | $409.78 | $418.56 | |
HMSA
| Professional | $382.00 | $428.45 | $494.80 | |
Kaiser Permanente
| Professional | $342.03 | $373.13 | $435.32 | |
United
| Professional | $323.23 | $396.11 | $522.92 | |
University Health Alliance
| Professional | $237.78 | $288.73 | $394.03 |