| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,854.52 | $3,854.52 | $3,854.52 | |
Cigna
| Professional | $3,947.40 | $3,947.40 | $8,735.36 | |
Kaiser Permanente
| Professional | $4,852.97 | $5,294.16 | $5,514.75 | |
United
| Professional | $3,870.00 | $5,805.00 | $8,735.36 | |
University Health Alliance
| Professional | $3,850.00 | $3,850.00 | $3,850.00 |