| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.66 | $62.84 | $66.66 | |
Cigna
| Facility | $333.15 | $333.15 | $333.15 | |
Kaiser Permanente
| Professional | $95.55 | $123.25 | $154.74 | |
United
| Professional | $36.60 | $53.99 | $150.46 |