| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $107.15 | $141.25 | |
Cigna
| Professional | $75.86 | $117.49 | $181.97 | |
HMSA
| Professional | $100.00 | $134.90 | $154.88 | |
Kaiser Permanente
| Professional | $109.65 | $141.25 | $181.97 | |
United
| Professional | $75.86 | $117.49 | $158.49 | |
University Health Alliance
| Professional | $52.48 | $95.50 | $144.54 |