| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $240.00 | $240.00 | $326.20 | |
Cigna
| Professional | $368.51 | $368.51 | $368.51 | |
HMSA
| Professional | $136.76 | $185.02 | $346.10 | |
Kaiser Permanente
| Professional | $208.65 | $227.62 | $265.55 | |
United
| Professional | $211.08 | $304.05 | $373.92 | |
University Health Alliance
| Professional | $242.54 | $242.54 | $242.54 |