| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.14 | $123.89 | $461.32 | |
Cigna
| Professional | $115.14 | $146.53 | $327.50 | |
HMSA
| Professional | $156.69 | $176.04 | $202.45 | |
Kaiser Permanente
| Professional | $124.25 | $140.66 | $164.11 | |
United
| Professional | $105.50 | $143.40 | $194.99 | |
University Health Alliance
| Professional | $109.11 | $146.34 | $148.91 |