| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $169.82 | $234.42 | |
Cigna
| Professional | $162.18 | $208.93 | $389.05 | |
HMSA
| Professional | $194.98 | $229.09 | $302.00 | |
Kaiser Permanente
| Professional | $158.49 | $190.55 | $234.42 | |
United
| Professional | $147.91 | $204.17 | $295.12 | |
University Health Alliance
| Professional | $162.18 | $218.78 | $426.58 |