| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.94 | $83.94 | $85.96 | |
Cigna
| Professional | $85.96 | $85.96 | $86.57 | |
HMSA
| Professional | $98.06 | $108.96 | $117.58 | |
Kaiser Permanente
| Professional | $159.16 | $159.16 | $159.16 | |
United
| Professional | $86.57 | $127.74 | $204.71 | |
University Health Alliance
| Professional | $116.21 | $116.21 | $121.05 |