| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $140.44 | $172.13 | $206.55 | |
Kaiser Permanente
| Professional | $151.47 | $165.24 | $192.78 | |
United
| Professional | $143.86 | $172.13 | $220.82 | |
University Health Alliance
| Professional | $105.66 | $172.07 | $187.17 |