| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.35 | $112.42 | $112.42 | |
Cigna
| Professional | $92.85 | $92.85 | $122.03 | |
Kaiser Permanente
| Professional | $107.02 | $118.28 | $236.46 | |
United
| Professional | $85.22 | $119.85 | $292.55 |