| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $57.54 | $83.18 | |
Cigna
| Professional | $32.36 | $53.70 | $107.15 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $22.39 | $33.11 | $67.61 |