| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $83.18 | $125.89 | |
Cigna
| Professional | $107.15 | $199.53 | $302.00 | |
Kaiser Permanente
| Professional | $213.80 | $239.88 | $239.88 | |
United
| Professional | $41.69 | $41.69 | $41.69 |