| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.04 | $99.82 | $110.90 | |
Cigna
| Professional | $92.85 | $92.85 | $146.21 | |
Kaiser Permanente
| Professional | $107.45 | $126.41 | $147.47 | |
United
| Professional | $94.81 | $130.24 | $172.37 | |
University Health Alliance
| Professional | $79.02 | $95.95 | $169.82 |