| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.05 | $81.29 | $108.40 | |
Cigna
| Professional | $62.00 | $91.43 | $150.00 | |
Kaiser Permanente
| Professional | $59.14 | $84.64 | $121.88 | |
United
| Professional | $68.64 | $83.35 | $165.95 |