| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.92 | $79.70 | $108.38 | |
Cigna
| Professional | $78.92 | $78.92 | $78.92 | |
HMSA
| Professional | $81.63 | $81.63 | $81.63 | |
Kaiser Permanente
| Professional | $86.81 | $94.70 | $110.48 | |
United
| Professional | $67.09 | $87.85 | $118.38 | |
University Health Alliance
| Professional | $67.65 | $72.36 | $114.49 |