| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.38 | $127.53 | $180.00 | |
Cigna
| Professional | $88.53 | $88.53 | $88.53 | |
Kaiser Permanente
| Professional | $89.44 | $131.87 | $178.88 | |
United
| Professional | $83.83 | $125.78 | $228.22 |