| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.78 | $61.78 | $108.79 | |
Cigna
| Professional | $60.12 | $162.11 | $162.11 | |
HMSA
| Professional | $147.37 | $154.31 | $154.31 | |
Kaiser Permanente
| Professional | $206.32 | $206.32 | $206.32 | |
United
| Professional | $73.40 | $183.80 | $364.10 | |
University Health Alliance
| Professional | $60.57 | $123.63 | $190.11 |