| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.33 | $123.03 | $169.82 | |
Cigna
| Professional | $107.15 | $151.36 | $288.40 | |
HMSA
| Professional | $134.90 | $158.49 | $177.83 | |
Kaiser Permanente
| Professional | $141.25 | $169.82 | $208.93 | |
United
| Professional | $100.00 | $144.54 | $194.98 | |
University Health Alliance
| Professional | $120.23 | $162.18 | $162.18 |