| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.46 | $57.95 | $62.80 | |
Cigna
| Professional | $25.82 | $25.82 | $78.98 | |
Kaiser Permanente
| Professional | $100.52 | $100.52 | $100.52 | |
United
| Professional | $21.01 | $38.76 | $89.55 | |
University Health Alliance
| Professional | $59.82 | $62.87 | $68.34 |