| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.82 | $74.61 | $97.58 | |
Cigna
| Professional | $61.00 | $84.00 | $115.20 | |
HMSA
| Professional | $104.91 | $109.85 | $126.33 | |
Kaiser Permanente
| Professional | $57.79 | $81.55 | $89.89 | |
United
| Professional | $75.91 | $82.92 | $138.31 | |
University Health Alliance
| Professional | $61.80 | $84.34 | $95.36 |