| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.59 | $104.58 | $164.88 | |
Cigna
| Professional | $109.21 | $140.59 | $314.00 | |
Kaiser Permanente
| Professional | $119.64 | $135.44 | $158.02 | |
United
| Professional | $101.82 | $140.28 | $187.34 | |
University Health Alliance
| Professional | $104.60 | $140.29 | $142.75 |