| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.98 | $81.95 | $83.93 | |
Cigna
| Professional | $69.67 | $104.30 | $114.04 | |
HMSA
| Professional | $84.42 | $84.42 | $84.42 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $97.75 | $98.74 | $148.11 | |
University Health Alliance
| Professional | $58.75 | $71.34 | $98.74 |