| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.20 | $90.90 | $105.31 | |
Cigna
| Professional | $51.33 | $51.33 | $164.71 | |
Kaiser Permanente
| Professional | $209.64 | $209.64 | $209.64 | |
United
| Professional | $41.77 | $65.00 | $186.75 | |
University Health Alliance
| Professional | $124.75 | $131.11 | $142.52 |