| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.09 | $85.31 | $107.39 | |
Cigna
| Professional | $194.18 | $194.18 | $218.30 | |
HMSA
| Professional | $101.56 | $106.35 | $124.43 | |
Kaiser Permanente
| Professional | $79.69 | $95.63 | $99.61 | |
United
| Professional | $98.53 | $99.61 | $142.69 | |
University Health Alliance
| Professional | $64.63 | $78.48 | $107.10 |