| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.85 | $94.64 | $117.12 | |
Cigna
| Professional | $23.06 | $27.62 | $291.88 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $69.09 | $95.04 | $166.95 |