| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.74 | $48.61 | $112.24 | |
Cigna
| Professional | $20.39 | $76.63 | $135.04 | |
HMSA
| Professional | $117.94 | $131.01 | $159.87 | |
Kaiser Permanente
| Professional | $34.21 | $46.65 | $140.44 | |
United
| Professional | $39.28 | $114.55 | $135.04 | |
University Health Alliance
| Professional | $28.14 | $69.69 | $98.40 |