| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.87 | $19.87 | $20.66 | |
Cigna
| Professional | $13.93 | $13.93 | $28.03 | |
Kaiser Permanente
| Professional | $30.46 | $53.85 | $53.85 | |
United
| Professional | $11.13 | $15.89 | $24.11 |