| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.73 | $74.81 | $102.76 | |
Cigna
| Professional | $42.25 | $42.25 | $149.63 | |
Kaiser Permanente
| Professional | $190.46 | $190.46 | $190.46 | |
United
| Professional | $34.38 | $63.43 | $169.67 | |
University Health Alliance
| Professional | $113.34 | $119.12 | $129.47 |