| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.42 | $173.42 | $173.42 | |
Cigna
| Professional | $198.79 | $252.85 | $309.86 | |
HMSA
| Professional | $249.91 | $330.91 | $398.48 | |
Kaiser Permanente
| Professional | $255.33 | $297.47 | $347.05 | |
United
| Professional | $231.08 | $309.86 | $456.77 | |
University Health Alliance
| Professional | $269.02 | $269.02 | $281.70 |