| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $141.25 | $165.96 | |
Cigna
| Professional | $229.09 | $229.09 | $229.09 | |
HMSA
| Professional | $181.97 | $204.17 | $213.80 | |
Kaiser Permanente
| Professional | $190.55 | $218.78 | $275.42 | |
United
| Professional | $229.09 | $229.09 | $229.09 | |
University Health Alliance
| Professional | $128.82 | $154.88 | $213.80 |