| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.62 | $47.99 | $47.99 | |
Cigna
| Professional | $36.90 | $36.90 | $36.90 | |
Kaiser Permanente
| Professional | $44.71 | $51.77 | $100.05 | |
United
| Professional | $22.69 | $37.22 | $111.19 |