| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.93 | $94.69 | $174.88 | |
Cigna
| Professional | $88.98 | $113.04 | $165.56 | |
HMSA
| Professional | $155.94 | $163.46 | $187.80 | |
Kaiser Permanente
| Professional | $121.41 | $132.44 | $154.52 | |
United
| Professional | $59.06 | $112.58 | $137.96 | |
University Health Alliance
| Professional | $52.43 | $63.67 | $344.13 |