| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.57 | $102.10 | $109.89 | |
Cigna
| Professional | $57.66 | $57.66 | $230.15 | |
Kaiser Permanente
| Professional | $292.92 | $292.92 | $292.92 | |
United
| Professional | $46.92 | $72.06 | $260.95 | |
University Health Alliance
| Professional | $174.32 | $183.21 | $199.15 |