| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.39 | $96.28 | $387.00 | |
Aetna
| Professional | 52 | $34.40 | $54.61 | $81.19 |
Cigna
| Professional | $61.48 | $86.53 | $142.59 | |
HMSA
| Professional | $109.57 | $126.07 | $165.15 | |
Kaiser Permanente
| Professional | $78.56 | $92.42 | $107.83 | |
United
| Professional | $69.31 | $96.28 | $181.96 | |
University Health Alliance
| Professional | $66.65 | $97.23 | $157.32 |