| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $43.65 | $52.48 | |
Cigna
| Professional | $16.22 | $16.22 | $19.50 | |
Kaiser Permanente
| Professional | $29.51 | $42.66 | $58.88 | |
United
| Facility | $36.31 | $36.31 | $95.50 | |
United
| Professional | $46.77 | $67.61 | $112.20 |