| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.62 | $143.31 | $196.44 | |
Cigna
| Professional | $80.93 | $80.93 | $199.88 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $254.39 | $254.39 | $254.39 | |
United
| Professional | $65.86 | $169.90 | $226.64 | |
University Health Alliance
| Professional | $151.38 | $159.11 | $172.95 |