| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $67.61 | $114.82 | |
Cigna
| Professional | $39.81 | $39.81 | $39.81 | |
Kaiser Permanente
| Professional | $16.60 | $16.60 | $16.60 | |
United
| Professional | $38.02 | $66.07 | $177.83 |