| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $79.43 | $457.09 | |
Cigna
| Professional | $66.07 | $85.11 | $158.49 | |
HMSA
| Professional | $83.18 | $100.00 | $131.83 | |
Kaiser Permanente
| Professional | $74.13 | $89.13 | $112.20 | |
United
| Professional | $60.26 | $83.18 | $128.82 | |
University Health Alliance
| Professional | $70.79 | $91.20 | $173.78 |