| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.19 | $68.34 | $76.55 | |
Cigna
| Professional | $72.26 | $144.57 | $210.19 | |
Kaiser Permanente
| Professional | $49.96 | $73.03 | $157.57 | |
United
| Professional | $58.62 | $84.00 | $204.77 |