| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.18 | $176.18 | $176.18 | |
Cigna
| Professional | $184.83 | $226.51 | $271.82 | |
Kaiser Permanente
| Professional | $199.33 | $217.45 | $253.69 | |
United
| Professional | $184.83 | $226.51 | $413.72 | |
University Health Alliance
| Professional | $138.34 | $225.30 | $245.06 |