| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.37 | $70.06 | $95.26 | |
Cigna
| Professional | $69.37 | $69.37 | $86.37 | |
HMSA
| Professional | $105.09 | $105.09 | $105.09 | |
Kaiser Permanente
| Professional | $69.37 | $83.24 | $104.05 | |
United
| Professional | $65.90 | $73.42 | $104.06 | |
University Health Alliance
| Professional | $36.40 | $69.37 | $92.85 |