| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.01 | $120.92 | $155.11 | |
Cigna
| Professional | $109.20 | $134.00 | $172.07 | |
HMSA
| Professional | $169.74 | $177.74 | $204.40 | |
Kaiser Permanente
| Professional | $97.19 | $135.13 | $155.51 | |
United
| Professional | $126.88 | $139.96 | $221.17 | |
University Health Alliance
| Professional | $92.36 | $117.24 | $158.62 |