| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.59 | $92.48 | $121.55 | |
Cigna
| Professional | $71.00 | $103.53 | $163.75 | |
HMSA
| Professional | $102.49 | $117.81 | $131.62 | |
Kaiser Permanente
| Professional | $78.64 | $110.97 | $122.33 | |
United
| Professional | $71.42 | $97.69 | $153.41 | |
University Health Alliance
| Professional | $74.94 | $85.36 | $114.48 |