| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.95 | $24.06 | $141.93 | |
Cigna
| Professional | $86.79 | $106.36 | $127.64 | |
HMSA
| Professional | $24.63 | $28.37 | $127.19 | |
Kaiser Permanente
| Professional | $17.14 | $90.20 | $106.36 | |
United
| Professional | $82.21 | $104.66 | $143.90 | |
University Health Alliance
| Professional | $15.28 | $29.27 | $121.32 |