| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $69.18 | $69.18 | $69.18 | |
Kaiser Permanente
| Professional | $60.26 | $66.07 | $85.11 | |
United
| Professional | $69.18 | $69.18 | $79.43 |