| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.43 | $50.58 | $69.47 | |
Cigna
| Professional | $28.56 | $28.56 | $91.10 | |
Kaiser Permanente
| Professional | $115.95 | $115.95 | $115.95 | |
United
| Professional | $23.24 | $42.88 | $103.29 | |
University Health Alliance
| Professional | $69.00 | $72.52 | $78.83 |