| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.35 | $30.36 | $70.14 | |
Cigna
| Professional | $38.77 | $104.52 | $104.52 | |
HMSA
| Professional | $95.02 | $99.50 | $99.50 | |
Kaiser Permanente
| Professional | $133.03 | $133.03 | $133.03 | |
United
| Professional | $31.55 | $104.52 | $118.50 | |
University Health Alliance
| Professional | $39.04 | $79.70 | $122.58 |