| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.98 | $115.03 | $417.00 | |
Cigna
| Professional | $75.25 | $92.21 | $136.69 | |
Kaiser Permanente
| Professional | $81.15 | $88.52 | $103.28 | |
United
| Professional | $75.25 | $92.21 | $155.08 | |
University Health Alliance
| Professional | $71.14 | $95.41 | $103.78 |