| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.28 | $135.32 | $219.13 | |
Cigna
| Professional | $98.34 | $148.85 | $218.90 | |
HMSA
| Professional | $135.25 | $156.12 | $190.51 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $119.97 | $172.67 | $220.40 | |
University Health Alliance
| Professional | $61.98 | $116.52 | $323.85 |