| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $77.62 | $91.20 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 | |
Kaiser Permanente
| Professional | $63.10 | $91.20 | $123.03 | |
United
| Facility | $61.66 | $61.66 | $141.25 | |
United
| Professional | $69.18 | $85.11 | $154.88 |