| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.58 | $75.28 | $89.17 | |
Cigna
| Professional | $38.71 | $38.71 | $119.03 | |
Kaiser Permanente
| Professional | $151.49 | $151.49 | $151.49 | |
United
| Professional | $31.50 | $55.04 | $134.96 | |
University Health Alliance
| Professional | $90.15 | $94.75 | $102.99 |