| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.03 | $94.42 | $870.91 | |
Cigna
| Professional | $65.77 | $82.83 | $156.03 | |
HMSA
| Professional | $84.12 | $96.54 | $113.80 | |
Kaiser Permanente
| Professional | $67.38 | $79.27 | $92.48 | |
United
| Professional | $62.30 | $82.58 | $115.98 | |
University Health Alliance
| Professional | $65.72 | $89.69 | $174.56 |