| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.87 | $76.93 | $94.58 | |
Cigna
| Professional | $49.31 | $109.73 | $237.28 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $45.23 | $52.11 | $131.13 |