| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.75 | $41.85 | $57.47 | |
Cigna
| Professional | $23.63 | $23.63 | $62.50 | |
Kaiser Permanente
| Professional | $79.55 | $79.55 | $79.55 | |
United
| Professional | $19.23 | $35.08 | $70.88 | |
University Health Alliance
| Professional | $47.34 | $49.75 | $54.08 |