| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.84 | $71.53 | $108.83 | |
Cigna
| Professional | $61.88 | $88.14 | $251.30 | |
HMSA
| Professional | $66.67 | $80.39 | $92.45 | |
Kaiser Permanente
| Professional | $77.15 | $84.17 | $98.71 | |
United
| Professional | $66.52 | $88.14 | $117.78 | |
University Health Alliance
| Professional | $65.23 | $86.59 | $89.03 |