| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.76 | $130.19 | $206.41 | |
Cigna
| Professional | $152.59 | $170.05 | $172.97 | |
HMSA
| Professional | $158.53 | $177.07 | $209.55 | |
Kaiser Permanente
| Professional | $144.66 | $157.81 | $184.11 | |
United
| Professional | $136.79 | $167.64 | $216.12 | |
University Health Alliance
| Professional | $99.88 | $121.28 | $165.51 |