| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.97 | $32.97 | $32.97 | |
Cigna
| Professional | $23.12 | $23.12 | $46.21 | |
Kaiser Permanente
| Professional | $50.57 | $89.38 | $89.38 | |
United
| Professional | $18.47 | $26.38 | $40.01 |