| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.16 | $151.16 | $207.60 | |
Cigna
| Professional | $151.16 | $170.76 | $190.00 | |
HMSA
| Professional | $210.58 | $242.05 | $272.77 | |
Kaiser Permanente
| Professional | $166.28 | $181.40 | $211.63 | |
United
| Professional | $151.16 | $171.00 | $226.76 | |
University Health Alliance
| Professional | $150.33 | $159.86 | $204.25 |