| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.35 | $81.36 | $140.69 | |
Cigna
| Professional | $79.53 | $107.04 | $128.44 | |
HMSA
| Professional | $79.22 | $91.25 | $115.26 | |
Kaiser Permanente
| Professional | $56.99 | $90.77 | $107.04 | |
United
| Professional | $79.13 | $102.91 | $130.41 | |
University Health Alliance
| Professional | $29.27 | $67.53 | $107.60 |