| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.46 | $57.61 | $113.49 | |
Cigna
| Professional | $34.04 | $83.88 | $134.94 | |
HMSA
| Professional | $122.82 | $139.08 | $145.63 | |
Kaiser Permanente
| Professional | $55.39 | $75.53 | $140.35 | |
United
| Professional | $86.72 | $116.60 | $134.94 | |
University Health Alliance
| Professional | $46.94 | $82.96 | $100.73 |