| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.97 | $83.87 | $97.21 | |
Cigna
| Professional | $59.36 | $79.53 | $115.90 | |
HMSA
| Professional | $46.30 | $132.07 | $138.29 | |
Kaiser Permanente
| Professional | $101.99 | $101.99 | $129.81 | |
United
| Professional | $65.97 | $100.14 | $145.13 | |
University Health Alliance
| Professional | $67.20 | $81.62 | $113.67 |