| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.67 | $80.16 | $101.16 | |
Cigna
| Professional | $43.73 | $43.73 | $129.26 | |
Kaiser Permanente
| Professional | $164.51 | $164.51 | $164.51 | |
United
| Professional | $35.58 | $62.44 | $146.57 | |
University Health Alliance
| Professional | $97.91 | $102.90 | $111.85 |