| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.16 | $161.35 | $200.20 | |
Cigna
| Professional | $91.11 | $91.11 | $301.89 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $384.23 | $384.23 | $384.23 | |
United
| Professional | $74.15 | $135.30 | $342.30 | |
University Health Alliance
| Professional | $228.66 | $240.32 | $261.23 |