| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.04 | $120.49 | $175.46 | |
Cigna
| Professional | $126.98 | $149.41 | $507.87 | |
HMSA
| Professional | $134.78 | $154.71 | $174.16 | |
Kaiser Permanente
| Professional | $119.53 | $143.44 | $167.34 | |
United
| Professional | $106.27 | $140.99 | $198.83 | |
University Health Alliance
| Professional | $90.35 | $109.71 | $149.72 |