| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.38 | $123.34 | $126.48 | |
Cigna
| Professional | $101.15 | $141.16 | $173.00 | |
HMSA
| Professional | $143.96 | $159.94 | $185.23 | |
Kaiser Permanente
| Professional | $138.40 | $152.24 | $173.00 | |
United
| Professional | $130.68 | $166.03 | $183.56 | |
University Health Alliance
| Professional | $100.30 | $164.48 | $398.35 |