| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $58.88 | $70.79 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 | |
HMSA
| Professional | $77.62 | $87.10 | $91.20 | |
Kaiser Permanente
| Professional | $79.43 | $89.13 | $112.20 | |
United
| Professional | $97.72 | $97.72 | $97.72 | |
University Health Alliance
| Professional | $56.23 | $67.61 | $91.20 |