| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.51 | $91.93 | $125.51 | |
Cigna
| Professional | $46.00 | $96.65 | $152.47 | |
HMSA
| Professional | $71.34 | $95.12 | $99.60 | |
Kaiser Permanente
| Professional | $72.00 | $98.98 | $113.70 | |
United
| Professional | $64.50 | $90.05 | $118.44 | |
University Health Alliance
| Professional | $40.29 | $72.50 | $109.01 |