| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.13 | $181.71 | $237.75 | |
Cigna
| Professional | $161.12 | $219.60 | $380.25 | |
HMSA
| Professional | $194.91 | $218.98 | $263.70 | |
Kaiser Permanente
| Professional | $179.19 | $210.82 | $245.95 | |
United
| Professional | $165.65 | $219.60 | $311.60 | |
University Health Alliance
| Professional | $174.00 | $237.45 | $445.02 |