| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.03 | $76.45 | $159.00 | |
HMSA
| Professional | $69.26 | $83.04 | $91.86 | |
Kaiser Permanente
| Professional | $77.31 | $84.35 | $98.41 | |
United
| Professional | $84.35 | $86.46 | $140.58 | |
University Health Alliance
| Professional | $52.00 | $99.84 | $117.64 |