| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.36 | $190.44 | $229.08 | |
Cigna
| Professional | $57.66 | $57.66 | $76.20 | |
HMSA
| Professional | $59.97 | $59.97 | $59.97 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $227.70 | $276.00 | $414.00 | |
University Health Alliance
| Professional | $53.75 | $53.75 | $69.19 |