| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.03 | $54.08 | $81.15 | |
Cigna
| Professional | $30.00 | $74.09 | $100.57 | |
Kaiser Permanente
| Professional | $79.73 | $103.19 | $199.45 | |
United
| Professional | $45.58 | $100.10 | $230.48 |