| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.24 | $81.75 | $99.03 | |
Cigna
| Professional | $98.72 | $98.72 | $98.72 | |
Kaiser Permanente
| Professional | $62.45 | $91.59 | $124.89 | |
United
| Professional | $67.29 | $86.03 | $191.40 |