| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.64 | $82.23 | $102.84 | |
Cigna
| Professional | $56.90 | $69.73 | $83.67 | |
HMSA
| Professional | $70.20 | $83.01 | $157.35 | |
Kaiser Permanente
| Professional | $61.36 | $71.98 | $85.07 | |
United
| Professional | $56.90 | $114.80 | $257.18 | |
University Health Alliance
| Professional | $19.39 | $55.69 | $144.18 |