| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.12 | $103.20 | $141.74 | |
Cigna
| Professional | $58.28 | $58.28 | $169.32 | |
Kaiser Permanente
| Professional | $215.50 | $215.50 | $215.50 | |
United
| Professional | $47.42 | $87.48 | $191.97 | |
University Health Alliance
| Professional | $128.24 | $134.78 | $146.51 |