| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.24 | $94.00 | $340.42 | |
Cigna
| Professional | $68.86 | $114.28 | $166.71 | |
HMSA
| Professional | $112.69 | $125.21 | $150.02 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $93.31 | $135.44 | $172.23 | |
University Health Alliance
| Professional | $61.98 | $116.52 | $255.27 |