| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.26 | $109.43 | $121.97 | |
Cigna
| Professional | $51.66 | $51.66 | $186.01 | |
Kaiser Permanente
| Professional | $236.74 | $236.74 | $236.74 | |
United
| Professional | $42.04 | $70.94 | $210.92 | |
University Health Alliance
| Professional | $140.88 | $148.08 | $160.96 |