| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.68 | $247.63 | $268.16 | |
Cigna
| Professional | $128.49 | $128.49 | $172.67 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $219.76 | $219.76 | $219.76 | |
United
| Professional | $104.57 | $155.40 | $195.78 | |
University Health Alliance
| Professional | $130.78 | $137.44 | $149.41 |