| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $85.11 | $93.33 | |
Cigna
| Professional | $190.55 | $190.55 | $190.55 | |
HMSA
| Professional | $102.33 | $125.89 | $138.04 | |
Kaiser Permanente
| Professional | $70.79 | $77.62 | $89.13 | |
United
| Professional | $79.43 | $91.20 | $109.65 | |
University Health Alliance
| Professional | $93.33 | $100.00 | $208.93 |