| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.04 | $308.47 | $339.31 | |
Cigna
| Professional | $321.72 | $321.72 | $371.58 | |
HMSA
| Professional | $360.33 | $360.33 | $360.33 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $307.17 | $309.70 | $464.57 | |
University Health Alliance
| Professional | $12.64 | $189.43 | $435.08 |