| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.43 | $180.27 | $200.86 | |
Cigna
| Professional | $101.80 | $101.80 | $432.09 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $549.92 | $549.92 | $549.92 | |
United
| Professional | $82.84 | $151.16 | $489.93 | |
University Health Alliance
| Professional | $327.27 | $343.96 | $373.88 |