| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.18 | $58.76 | $141.01 | |
Cigna
| Professional | $48.80 | $48.80 | $64.79 | |
Kaiser Permanente
| Professional | $56.31 | $65.20 | $123.18 | |
United
| Professional | $33.32 | $66.33 | $152.01 |