| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.53 | $71.59 | $71.59 | |
Cigna
| Professional | $56.24 | $56.24 | $56.24 | |
Kaiser Permanente
| Professional | $67.34 | $77.98 | $149.91 | |
United
| Professional | $35.78 | $49.62 | $167.77 |