| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.27 | $112.72 | $201.73 | |
Cigna
| Professional | $90.18 | $128.77 | $185.27 | |
HMSA
| Professional | $135.13 | $150.16 | $177.49 | |
Kaiser Permanente
| Professional | $131.94 | $176.00 | $670.00 | |
United
| Professional | $102.31 | $145.83 | $207.41 | |
University Health Alliance
| Professional | $96.34 | $137.94 | $164.35 |