| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $23.96 | $23.96 | |
Cigna
| Professional | $16.80 | $16.80 | $33.71 | |
Kaiser Permanente
| Professional | $36.72 | $64.92 | $64.92 | |
United
| Professional | $13.41 | $19.16 | $29.06 |