| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.81 | $108.05 | $428.00 | |
Cigna
| Professional | $139.53 | $139.53 | $139.53 | |
HMSA
| Professional | $99.65 | $120.53 | $137.03 | |
Kaiser Permanente
| Professional | $71.23 | $77.70 | $90.65 | |
United
| Professional | $80.94 | $95.59 | $120.93 | |
University Health Alliance
| Professional | $82.10 | $101.30 | $269.87 |