| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.47 | $131.37 | $445.50 | |
Cigna
| Professional | $110.62 | $141.09 | $314.00 | |
HMSA
| Professional | $150.35 | $168.92 | $194.26 | |
Kaiser Permanente
| Professional | $119.64 | $135.44 | $158.02 | |
United
| Professional | $101.58 | $138.04 | $187.34 | |
University Health Alliance
| Professional | $104.60 | $140.29 | $142.75 |