| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.28 | $93.28 | $93.28 | |
Cigna
| Professional | $87.10 | $87.10 | $87.10 | |
Kaiser Permanente
| Professional | $69.68 | $83.62 | $97.55 | |
United
| Professional | $26.23 | $87.10 | $112.43 | |
University Health Alliance
| Professional | $38.65 | $46.93 | $206.21 |