| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $265.48 | $346.65 | $1,304.51 | |
Cigna
| Professional | $317.88 | $411.23 | $912.11 | |
HMSA
| Professional | $381.55 | $428.68 | $492.98 | |
Kaiser Permanente
| Professional | $348.72 | $394.78 | $460.57 | |
United
| Professional | $293.74 | $400.64 | $546.50 | |
University Health Alliance
| Professional | $303.64 | $407.24 | $414.39 |