| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.68 | $114.72 | $122.74 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Kaiser Permanente
| Professional | $7.48 | $10.93 | $235.57 | |
United
| Professional | $29.58 | $134.04 | $308.05 |