| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.66 | $202.46 | $410.73 | |
Cigna
| Professional | $177.86 | $239.23 | $351.58 | |
HMSA
| Professional | $240.16 | $266.83 | $317.39 | |
Kaiser Permanente
| Professional | $137.33 | $176.00 | $670.00 | |
United
| Professional | $197.47 | $273.86 | $380.38 | |
University Health Alliance
| Professional | $173.10 | $236.92 | $312.18 |