| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.45 | $25.26 | $25.26 | |
Cigna
| Professional | $22.32 | $22.32 | $28.41 | |
Kaiser Permanente
| Professional | $31.94 | $55.68 | $55.68 | |
United
| Professional | $18.34 | $23.21 | $58.78 |