| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.17 | $66.11 | $108.83 | |
Cigna
| Professional | $27.98 | $81.09 | $129.88 | |
HMSA
| Professional | $118.54 | $139.74 | $146.32 | |
Kaiser Permanente
| Professional | $46.84 | $63.87 | $135.07 | |
United
| Professional | $32.00 | $112.21 | $129.88 | |
University Health Alliance
| Professional | $38.61 | $78.88 | $95.79 |