| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.70 | $91.43 | $118.36 | |
Cigna
| Professional | $84.48 | $102.00 | $130.50 | |
HMSA
| Professional | $129.41 | $135.50 | $155.83 | |
Kaiser Permanente
| Professional | $72.90 | $99.14 | $116.64 | |
United
| Professional | $98.37 | $104.98 | $168.72 | |
University Health Alliance
| Professional | $68.56 | $91.09 | $123.23 |