| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $129.50 | $158.69 | $190.44 | |
Kaiser Permanente
| Professional | $139.66 | $152.35 | $177.74 | |
United
| Professional | $114.30 | $158.69 | $259.64 | |
University Health Alliance
| Professional | $95.67 | $155.80 | $169.47 |