| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.75 | $84.92 | $114.87 | |
Cigna
| Professional | $71.00 | $98.00 | $145.13 | |
HMSA
| Professional | $107.25 | $112.30 | $129.15 | |
Kaiser Permanente
| Professional | $69.68 | $98.32 | $109.85 | |
United
| Professional | $88.53 | $98.56 | $157.97 | |
University Health Alliance
| Professional | $71.84 | $98.04 | $123.44 |