| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.77 | $78.87 | $79.04 | |
Cigna
| Professional | $36.94 | $36.94 | $123.99 | |
HMSA
| Professional | $112.72 | $118.03 | $118.03 | |
Kaiser Permanente
| Professional | $157.81 | $157.81 | $157.81 | |
United
| Professional | $30.06 | $54.85 | $140.58 | |
University Health Alliance
| Professional | $93.91 | $98.70 | $107.29 |