| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.57 | $55.95 | $71.88 | |
Cigna
| Professional | $29.80 | $29.80 | $92.16 | |
Kaiser Permanente
| Professional | $117.29 | $117.29 | $117.29 | |
United
| Professional | $24.25 | $44.36 | $104.51 | |
University Health Alliance
| Professional | $40.00 | $69.81 | $79.75 |