| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.04 | $113.56 | $195.81 | |
Cigna
| Professional | $81.67 | $129.53 | $189.10 | |
HMSA
| Professional | $127.85 | $142.06 | $170.21 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $106.35 | $152.52 | $195.59 | |
University Health Alliance
| Professional | $94.82 | $189.64 | $361.26 |