| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.35 | $37.35 | $37.35 | |
Cigna
| Professional | $38.25 | $38.25 | $57.71 | |
Kaiser Permanente
| Professional | $47.03 | $51.30 | $53.44 | |
United
| Professional | $37.50 | $56.25 | $57.71 |