| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.88 | $66.53 | $136.47 | |
Cigna
| Professional | $39.36 | $97.77 | $162.19 | |
HMSA
| Professional | $141.36 | $166.62 | $174.47 | |
Kaiser Permanente
| Professional | $66.69 | $90.95 | $168.69 | |
United
| Professional | $98.22 | $140.13 | $162.19 | |
University Health Alliance
| Professional | $54.31 | $96.22 | $116.84 |