| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.86 | $153.63 | $198.51 | |
Cigna
| Professional | $86.76 | $86.76 | $205.30 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $261.30 | $261.30 | $261.30 | |
United
| Professional | $70.59 | $122.53 | $232.79 | |
University Health Alliance
| Professional | $155.50 | $163.43 | $177.65 |