| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.44 | $96.20 | $103.73 | |
Cigna
| Professional | $43.93 | $43.93 | $131.93 | |
Kaiser Permanente
| Professional | $167.92 | $167.92 | $167.92 | |
United
| Professional | $35.75 | $59.38 | $149.58 | |
University Health Alliance
| Professional | $99.92 | $105.02 | $114.16 |