| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $87.10 | $144.54 | |
Cigna
| Professional | $58.88 | $109.65 | $151.36 | |
HMSA
| Professional | $81.28 | $100.00 | $2,137.96 | |
Kaiser Permanente
| Professional | $45.71 | $112.20 | $141.25 | |
United
| Professional | $42.66 | $83.18 | $138.04 | |
University Health Alliance
| Professional | $45.71 | $69.18 | $151.36 |