| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.13 | $145.13 | $145.13 | |
Cigna
| Professional | $80.91 | $80.91 | $80.91 | |
HMSA
| Professional | $113.68 | $113.68 | $113.68 | |
Kaiser Permanente
| Professional | $89.00 | $97.09 | $113.28 | |
United
| Professional | $80.91 | $93.43 | $121.37 | |
University Health Alliance
| Professional | $72.51 | $91.98 | $100.44 |