| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.65 | $111.59 | $133.47 | |
Cigna
| Professional | $114.37 | $148.94 | $252.65 | |
HMSA
| Professional | $69.16 | $93.58 | $172.76 | |
Kaiser Permanente
| Professional | $72.45 | $79.03 | $92.20 | |
United
| Professional | $94.64 | $137.00 | $210.16 | |
University Health Alliance
| Professional | $61.75 | $106.80 | $193.96 |