| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $171.96 | $171.96 | |
Cigna
| Professional | $699.93 | $699.93 | $699.93 | |
HMSA
| Professional | $821.00 | $859.69 | $859.69 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $594.94 | $699.93 | $699.93 | |
University Health Alliance
| Professional | $705.33 | $705.33 | $775.86 |