| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.13 | $81.28 | $100.00 | |
Cigna
| Professional | $54.95 | $95.50 | $234.42 | |
Kaiser Permanente
| Professional | $63.10 | $91.20 | $107.15 | |
United
| Professional | $63.10 | $107.15 | $239.88 |