| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.29 | $16.29 | $307.52 | |
Cigna
| Professional | $281.33 | $281.33 | $281.33 | |
HMSA
| Professional | $268.00 | $280.63 | $280.63 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $212.05 | $249.47 | $249.47 | |
University Health Alliance
| Professional | $252.33 | $252.33 | $277.56 |