| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.36 | $108.50 | $364.30 | |
Cigna
| Professional | $107.70 | $145.03 | $219.35 | |
HMSA
| Professional | $123.57 | $137.30 | $164.50 | |
Kaiser Permanente
| Professional | $127.62 | $139.22 | $150.83 | |
United
| Professional | $104.57 | $131.86 | $163.62 | |
University Health Alliance
| Professional | $81.63 | $118.28 | $185.63 |