| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.43 | $73.73 | $73.73 | |
Cigna
| Professional | $61.30 | $61.30 | $79.90 | |
Kaiser Permanente
| Professional | $69.50 | $76.81 | $153.04 | |
United
| Professional | $55.62 | $73.92 | $193.80 |