| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.92 | $168.49 | $356.10 | |
Cigna
| Professional | $139.22 | $189.33 | $279.87 | |
HMSA
| Professional | $195.84 | $217.60 | $260.70 | |
Kaiser Permanente
| Professional | $137.33 | $176.00 | $670.00 | |
United
| Professional | $151.66 | $209.74 | $312.16 | |
University Health Alliance
| Professional | $140.51 | $208.84 | $352.69 |