| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.82 | $135.32 | $513.46 | |
Cigna
| Professional | $135.02 | $172.25 | $555.39 | |
HMSA
| Professional | $200.75 | $225.55 | $259.38 | |
Kaiser Permanente
| Professional | $146.07 | $165.36 | $192.92 | |
United
| Professional | $124.79 | $168.94 | $228.74 | |
University Health Alliance
| Professional | $104.86 | $127.33 | $173.77 |