| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $295.12 | $371.54 | |
Cigna
| Professional | $331.13 | $371.54 | $478.63 | |
HMSA
| Professional | $371.54 | $407.38 | $524.81 | |
Kaiser Permanente
| Professional | $275.42 | $346.74 | $407.38 | |
United
| Professional | $239.88 | $346.74 | $467.74 | |
University Health Alliance
| Professional | $218.78 | $263.03 | $363.08 |