| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.02 | $71.59 | $340.00 | |
Cigna
| Professional | $56.66 | $72.06 | $131.97 | |
HMSA
| Professional | $70.43 | $80.84 | $95.29 | |
Kaiser Permanente
| Professional | $57.96 | $68.18 | $79.55 | |
United
| Professional | $53.92 | $71.03 | $99.96 | |
University Health Alliance
| Professional | $55.82 | $133.74 | $230.30 |