| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.46 | $102.90 | $163.97 | |
Cigna
| Professional | $106.58 | $131.90 | $138.65 | |
HMSA
| Professional | $123.85 | $142.15 | $167.56 | |
Kaiser Permanente
| Professional | $114.94 | $125.39 | $146.29 | |
United
| Professional | $106.58 | $130.61 | $173.30 | |
University Health Alliance
| Professional | $78.13 | $127.25 | $138.41 |