| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.56 | $105.07 | $115.52 | |
Cigna
| Professional | $96.42 | $126.01 | $150.97 | |
HMSA
| Professional | $138.63 | $145.16 | $145.16 | |
Kaiser Permanente
| Professional | $118.50 | $129.28 | $150.82 | |
United
| Professional | $100.82 | $134.66 | $177.23 | |
University Health Alliance
| Professional | $100.33 | $100.33 | $100.33 |