| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.12 | $100.12 | $2,757.20 | |
Cigna
| Professional | $99.13 | $99.13 | $99.13 | |
HMSA
| Professional | $182.94 | $182.94 | $182.94 | |
Kaiser Permanente
| Professional | $109.04 | $118.95 | $138.78 | |
United
| Professional | $110.35 | $148.69 | $150.36 | |
University Health Alliance
| Professional | $103.71 | $136.54 | $447.94 |