| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.76 | $125.62 | $161.47 | |
Cigna
| Professional | $283.01 | $283.01 | $283.01 | |
HMSA
| Professional | $173.11 | $181.27 | $222.83 | |
Kaiser Permanente
| Professional | $153.29 | $183.95 | $191.61 | |
United
| Professional | $146.33 | $191.61 | $213.65 | |
University Health Alliance
| Professional | $97.72 | $118.66 | $161.94 |