| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.05 | $192.19 | $245.67 | |
Cigna
| Professional | $108.53 | $108.53 | $334.22 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $425.38 | $425.38 | $425.38 | |
United
| Professional | $88.32 | $161.13 | $378.95 | |
University Health Alliance
| Professional | $253.14 | $266.05 | $289.20 |