| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $51.29 | $104.71 | |
Cigna
| Professional | $20.89 | $58.88 | $97.72 | |
HMSA
| Professional | $97.72 | $109.65 | $123.03 | |
Kaiser Permanente
| Professional | $29.51 | $93.33 | $112.20 | |
United
| Professional | $23.44 | $53.70 | $114.82 | |
University Health Alliance
| Professional | $28.84 | $67.61 | $112.20 |