| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.15 | $75.15 | $76.27 | |
Cigna
| Professional | $80.88 | $80.88 | $80.88 | |
HMSA
| Professional | $77.86 | $77.86 | $77.86 | |
Kaiser Permanente
| Professional | $82.66 | $90.17 | $105.20 | |
United
| Professional | $86.51 | $90.17 | $108.32 | |
University Health Alliance
| Professional | $20.59 | $24.22 | $72.25 |