| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.29 | $20.29 | $20.29 | |
Cigna
| Professional | $14.22 | $14.22 | $28.79 | |
Kaiser Permanente
| Professional | $31.11 | $54.98 | $54.98 | |
United
| Professional | $11.36 | $16.23 | $43.95 |