| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.46 | $57.76 | $71.01 | |
Cigna
| Professional | $37.02 | $82.40 | $177.79 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $33.96 | $38.35 | $82.40 |