| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.44 | $206.02 | $225.10 | |
Cigna
| Professional | $104.60 | $104.60 | $247.75 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $315.32 | $315.32 | $315.32 | |
United
| Professional | $85.13 | $138.94 | $280.92 | |
University Health Alliance
| Professional | $187.65 | $197.22 | $214.38 |