| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $61.66 | $91.20 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $87.10 | $114.82 | $125.89 |