| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $38.02 | $46.77 | |
Cigna
| Professional | $37.15 | $37.15 | $37.15 | |
Kaiser Permanente
| Professional | $44.67 | $52.48 | $100.00 | |
United
| Professional | $22.39 | $37.15 | $109.65 |