| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.00 | $42.94 | $85.84 | |
Cigna
| Professional | $19.59 | $19.59 | $53.82 | |
Kaiser Permanente
| Professional | $68.50 | $68.50 | $68.50 | |
United
| Professional | $15.94 | $29.42 | $61.02 | |
University Health Alliance
| Professional | $40.76 | $42.84 | $46.57 |