| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.53 | $299.92 | $660.44 | |
Cigna
| Professional | $199.09 | $253.23 | $310.33 | |
HMSA
| Professional | $252.08 | $327.18 | $532.84 | |
Kaiser Permanente
| Professional | $248.26 | $297.91 | $347.56 | |
United
| Professional | $233.05 | $310.33 | $450.59 | |
University Health Alliance
| Professional | $266.00 | $266.00 | $281.31 |