| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.12 | $61.98 | $74.98 | |
Cigna
| Professional | $87.66 | $87.66 | $87.66 | |
Kaiser Permanente
| Professional | $55.46 | $81.34 | $110.91 | |
United
| Professional | $57.34 | $74.80 | $126.45 |