| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.04 | $203.94 | $232.14 | |
Cigna
| Professional | $183.31 | $183.31 | $284.32 | |
HMSA
| Professional | $212.83 | $236.48 | $286.47 | |
Kaiser Permanente
| Professional | $215.19 | $243.61 | $284.20 | |
United
| Professional | $176.44 | $253.76 | $329.33 | |
University Health Alliance
| Professional | $216.58 | $216.58 | $216.58 |