| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.61 | $47.63 | $59.12 | |
Cigna
| Professional | $24.93 | $24.93 | $83.80 | |
Kaiser Permanente
| Professional | $106.65 | $106.65 | $106.65 | |
United
| Professional | $20.29 | $37.02 | $95.00 | |
University Health Alliance
| Professional | $63.46 | $66.70 | $72.50 |