| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $102.33 | $134.90 | |
Cigna
| Professional | $117.49 | $131.83 | $165.96 | |
HMSA
| Professional | $125.89 | $141.25 | $181.97 | |
Kaiser Permanente
| Professional | $97.72 | $123.03 | $147.91 | |
United
| Professional | $87.10 | $128.82 | $162.18 | |
University Health Alliance
| Professional | $74.13 | $91.20 | $123.03 |