| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.94 | $38.00 | $55.04 | |
Cigna
| Professional | $16.30 | $16.30 | $19.53 | |
Kaiser Permanente
| Professional | $18.67 | $26.73 | $37.35 | |
United
| Professional | $45.75 | $69.67 | $110.11 |