| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $79.26 | $254.04 | |
Cigna
| Professional | $74.75 | $96.98 | $151.04 | |
HMSA
| Professional | $82.17 | $91.30 | $109.38 | |
Kaiser Permanente
| Professional | $85.34 | $93.10 | $100.85 | |
United
| Professional | $70.48 | $92.03 | $113.52 | |
University Health Alliance
| Professional | $57.46 | $84.76 | $124.13 |