| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.45 | $29.38 | $151.13 | |
Cigna
| Professional | $31.70 | $45.02 | $60.37 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $25.34 | $33.11 | $50.61 |