| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.93 | $22.63 | $95.98 | |
Cigna
| Professional | $13.51 | $63.72 | $115.99 | |
HMSA
| Professional | $101.46 | $119.60 | $125.24 | |
Kaiser Permanente
| Professional | $22.75 | $31.02 | $120.63 | |
United
| Professional | $63.35 | $100.21 | $115.99 | |
University Health Alliance
| Professional | $18.62 | $63.01 | $84.18 |