| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.03 | $108.87 | $127.82 | |
Cigna
| Professional | $62.01 | $167.19 | $167.19 | |
HMSA
| Professional | $151.99 | $159.15 | $159.15 | |
Kaiser Permanente
| Professional | $212.79 | $212.79 | $212.79 | |
United
| Professional | $75.83 | $167.19 | $189.57 | |
University Health Alliance
| Professional | $62.48 | $127.52 | $196.07 |