| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.73 | $149.65 | $196.19 | |
Cigna
| Professional | $84.51 | $84.51 | $479.69 | |
Kaiser Permanente
| Professional | $610.51 | $610.51 | $610.51 | |
United
| Professional | $68.77 | $125.48 | $543.89 | |
University Health Alliance
| Professional | $363.32 | $381.85 | $415.07 |