| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.13 | $100.00 | $147.91 | |
Cigna
| Professional | $81.28 | $144.54 | $213.80 | |
HMSA
| Professional | $123.03 | $138.04 | $169.82 | |
Kaiser Permanente
| Professional | $117.49 | $128.82 | $151.36 | |
United
| Professional | $107.15 | $144.54 | $162.18 | |
University Health Alliance
| Professional | $81.28 | $117.49 | $186.21 |