| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.30 | $0.35 | $0.48 | |
Cigna
| Professional | $0.28 | $0.51 | $90.42 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
University Health Alliance
| Professional | $186.86 | $186.86 | $204.97 |