| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.70 | $65.90 | $79.00 | |
Cigna
| Professional | $36.11 | $36.11 | $130.37 | |
Kaiser Permanente
| Professional | $165.93 | $165.93 | $165.93 | |
United
| Professional | $29.40 | $45.16 | $147.81 | |
University Health Alliance
| Professional | $75.00 | $98.74 | $112.81 |