| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.17 | $94.94 | $154.00 | |
Cigna
| Professional | $61.93 | $93.59 | $134.76 | |
HMSA
| Professional | $97.13 | $107.94 | $129.29 | |
Kaiser Permanente
| Professional | $101.50 | $176.00 | $670.00 | |
United
| Professional | $76.25 | $102.66 | $151.46 | |
University Health Alliance
| Professional | $70.28 | $96.79 | $115.33 |