| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $324.61 | $388.58 | $446.78 | |
Cigna
| Professional | $390.94 | $542.11 | $1,692.91 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $321.77 | $442.27 | $606.98 | |
University Health Alliance
| Professional | $304.35 | $369.56 | $504.34 |