| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $100.00 | $134.90 | |
Cigna
| Professional | $95.50 | $109.65 | $128.82 | |
HMSA
| Professional | $104.71 | $117.49 | $131.83 | |
Kaiser Permanente
| Professional | $112.20 | $123.03 | $125.89 | |
United
| Professional | $93.33 | $120.23 | $165.96 | |
University Health Alliance
| Professional | $81.28 | $120.23 | $162.18 |