| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.29 | $100.39 | $134.94 | |
Cigna
| Professional | $190.61 | $190.61 | $228.22 | |
HMSA
| Professional | $121.78 | $127.52 | $156.76 | |
Kaiser Permanente
| Professional | $107.95 | $129.54 | $134.94 | |
United
| Professional | $100.02 | $134.94 | $145.13 | |
University Health Alliance
| Professional | $66.42 | $80.65 | $110.06 |