| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.67 | $78.22 | $104.67 | |
Cigna
| Professional | $70.95 | $94.19 | $161.88 | |
HMSA
| Professional | $83.90 | $94.26 | $113.51 | |
Kaiser Permanente
| Professional | $76.86 | $90.42 | $105.49 | |
United
| Professional | $72.43 | $94.19 | $135.21 | |
University Health Alliance
| Professional | $74.30 | $101.40 | $192.30 |