| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.33 | $88.41 | $109.91 | |
Cigna
| Professional | $49.92 | $49.92 | $156.33 | |
Kaiser Permanente
| Professional | $198.97 | $198.97 | $198.97 | |
United
| Professional | $34.59 | $132.88 | $156.33 | |
University Health Alliance
| Professional | $118.40 | $124.44 | $135.27 |