| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $308.72 | $308.72 | $620.86 | |
Cigna
| Professional | $636.29 | $636.29 | $636.29 | |
HMSA
| Professional | $610.00 | $638.74 | $638.74 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $540.85 | $636.29 | $636.29 | |
University Health Alliance
| Professional | $618.33 | $618.33 | $680.16 |