| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.18 | $46.95 | $46.95 | |
Cigna
| Professional | $41.66 | $41.66 | $41.66 | |
Kaiser Permanente
| Professional | $49.34 | $59.32 | $105.52 | |
United
| Professional | $35.04 | $80.16 | $133.69 |