| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.99 | $83.66 | $114.91 | |
Cigna
| Professional | $47.24 | $47.24 | $94.02 | |
Kaiser Permanente
| Professional | $119.66 | $119.66 | $119.66 | |
United
| Professional | $38.45 | $70.93 | $106.61 | |
University Health Alliance
| Professional | $71.20 | $74.84 | $81.34 |