| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.74 | $138.74 | $140.13 | |
Cigna
| Professional | $138.74 | $144.13 | $166.50 | |
HMSA
| Professional | $190.92 | $212.13 | $228.92 | |
Kaiser Permanente
| Professional | $152.61 | $166.49 | $194.24 | |
United
| Professional | $138.74 | $149.85 | $208.11 | |
University Health Alliance
| Professional | $137.13 | $161.13 | $178.99 |