| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.15 | $86.80 | $904.80 | |
Cigna
| Professional | $86.67 | $107.63 | $362.56 | |
HMSA
| Professional | $85.26 | $97.85 | $110.16 | |
Kaiser Permanente
| Professional | $86.10 | $103.32 | $120.54 | |
United
| Professional | $73.00 | $92.99 | $345.76 | |
University Health Alliance
| Professional | $63.34 | $103.15 | $772.00 |