| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.91 | $51.11 | $94.88 | |
Cigna
| Professional | $21.05 | $62.87 | $113.85 | |
HMSA
| Professional | $98.82 | $103.67 | $121.97 | |
Kaiser Permanente
| Professional | $35.19 | $91.08 | $109.30 | |
United
| Professional | $61.62 | $98.37 | $139.19 | |
University Health Alliance
| Professional | $28.94 | $67.03 | $111.08 |