| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $508.10 | $714.37 | $897.24 | |
Cigna
| Professional | $545.40 | $780.59 | $900.34 | |
HMSA
| Professional | $158.40 | $918.42 | $990.98 | |
Kaiser Permanente
| Professional | $588.17 | $641.65 | $748.59 | |
United
| Professional | $545.40 | $668.39 | $1,123.69 | |
University Health Alliance
| Professional | $540.86 | $831.86 | $897.24 |