| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $67.61 | $85.11 | |
Cigna
| Professional | $72.44 | $165.96 | $223.87 | |
Kaiser Permanente
| Professional | $53.70 | $77.62 | $91.20 | |
United
| Professional | $58.88 | $91.20 | $204.17 |