| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.22 | $162.63 | $199.66 | |
Cigna
| Professional | $91.84 | $91.84 | $279.08 | |
HMSA
| Professional | $225.00 | $235.60 | $235.60 | |
Kaiser Permanente
| Professional | $355.19 | $355.19 | $355.19 | |
United
| Professional | $74.73 | $123.23 | $316.43 | |
University Health Alliance
| Professional | $211.37 | $222.15 | $241.48 |