| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.53 | $37.06 | $42.59 | |
Cigna
| Professional | $66.73 | $66.73 | $66.73 | |
Kaiser Permanente
| Professional | $200.00 | $200.00 | $200.00 | |
United
| Professional | $38.72 | $54.49 | $207.62 | |
University Health Alliance
| Professional | $29.45 | $47.12 | $257.50 |