| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $70.79 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
Kaiser Permanente
| Professional | $131.83 | $131.83 | $131.83 | |
United
| Professional | $91.20 | $91.20 | $234.42 |