| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.90 | $87.71 | $113.89 | |
Cigna
| Professional | $46.82 | $46.82 | $125.48 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $159.69 | $159.69 | $159.69 | |
United
| Professional | $38.10 | $70.30 | $142.28 | |
University Health Alliance
| Professional | $95.04 | $99.89 | $108.58 |