| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.84 | $131.62 | $217.87 | |
Cigna
| Professional | $93.08 | $148.85 | $218.90 | |
HMSA
| Professional | $142.72 | $158.58 | $189.98 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $119.97 | $172.38 | $220.40 | |
University Health Alliance
| Professional | $94.82 | $189.64 | $361.26 |