| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.44 | $47.78 | $48.00 | |
Cigna
| Professional | $36.90 | $48.92 | $440.98 | |
Kaiser Permanente
| Professional | $49.59 | $54.10 | $67.62 | |
United
| Professional | $24.21 | $52.43 | $440.98 |