| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.51 | $125.71 | $164.32 | |
Cigna
| Professional | $116.00 | $156.33 | $244.66 | |
HMSA
| Professional | $155.46 | $178.87 | $210.32 | |
Kaiser Permanente
| Professional | $107.24 | $143.75 | $163.35 | |
United
| Professional | $99.81 | $141.13 | $218.27 | |
University Health Alliance
| Professional | $112.40 | $152.54 | $165.92 |