| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $52.48 | $61.66 | |
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Kaiser Permanente
| Professional | $45.71 | $64.57 | $87.10 | |
United
| Facility | $40.74 | $40.74 | $89.13 | |
United
| Professional | $46.77 | $67.61 | $120.23 |