| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.39 | $90.93 | $104.79 | |
Cigna
| Professional | $44.38 | $44.38 | $122.06 | |
Kaiser Permanente
| Professional | $155.34 | $155.34 | $155.34 | |
United
| Professional | $36.11 | $56.53 | $138.41 | |
University Health Alliance
| Professional | $92.45 | $97.16 | $105.61 |