| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.98 | $126.37 | $153.97 | |
Cigna
| Professional | $63.92 | $63.92 | $161.16 | |
HMSA
| Professional | $135.00 | $141.36 | $141.36 | |
Kaiser Permanente
| Professional | $205.13 | $205.13 | $205.13 | |
United
| Professional | $52.02 | $95.04 | $182.75 | |
University Health Alliance
| Professional | $122.07 | $128.30 | $195.00 |