| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.83 | $29.13 | $31.12 | |
Cigna
| Professional | $16.45 | $16.45 | $104.30 | |
HMSA
| Professional | $94.82 | $99.29 | $99.29 | |
Kaiser Permanente
| Professional | $132.75 | $132.75 | $132.75 | |
United
| Professional | $13.39 | $22.68 | $118.26 | |
University Health Alliance
| Professional | $83.03 | $83.03 | $90.25 |