| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.03 | $101.03 | $102.04 | |
Cigna
| Professional | $101.03 | $119.16 | $126.83 | |
HMSA
| Professional | $137.34 | $161.58 | $177.46 | |
Kaiser Permanente
| Professional | $111.13 | $121.24 | $141.44 | |
United
| Professional | $101.03 | $114.15 | $151.55 | |
University Health Alliance
| Professional | $98.54 | $105.46 | $136.34 |