| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.04 | $115.50 | $186.37 | |
Cigna
| Professional | $78.08 | $124.26 | $187.17 | |
HMSA
| Professional | $122.41 | $136.01 | $162.96 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $102.30 | $148.69 | $188.15 | |
University Health Alliance
| Professional | $61.98 | $116.52 | $278.13 |