| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $54.95 | $112.20 | |
Cigna
| Professional | $58.88 | $93.33 | $141.25 | |
HMSA
| Professional | $114.82 | $128.82 | $144.54 | |
Kaiser Permanente
| Professional | $38.02 | $67.61 | $81.28 | |
United
| Professional | $42.66 | $63.10 | $95.50 | |
University Health Alliance
| Professional | $41.69 | $51.29 | $89.13 |