| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.20 | $17.20 | $17.20 | |
Cigna
| Professional | $9.77 | $9.77 | $9.77 | |
Kaiser Permanente
| Professional | $10.75 | $11.73 | $13.69 | |
United
| Professional | $9.77 | $11.44 | $14.67 | |
University Health Alliance
| Professional | $8.61 | $11.02 | $12.29 |