| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.61 | $85.29 | $330.00 | |
Cigna
| Professional | $61.58 | $102.32 | $155.90 | |
HMSA
| Professional | $106.15 | $117.94 | $141.30 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $87.73 | $127.66 | $162.05 | |
University Health Alliance
| Professional | $61.98 | $116.52 | $240.03 |