| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.91 | $180.39 | $225.49 | |
Cigna
| Professional | $348.10 | $348.10 | $395.80 | |
HMSA
| Professional | $203.98 | $213.59 | $262.58 | |
Kaiser Permanente
| Professional | $180.39 | $216.47 | $225.49 | |
United
| Professional | $175.40 | $225.49 | $263.69 | |
University Health Alliance
| Professional | $119.67 | $145.32 | $198.31 |