| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $64.57 | $85.11 | |
Cigna
| Professional | $61.66 | $81.28 | $223.87 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $51.29 | $74.13 | $120.23 |