| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.41 | $46.41 | $67.13 | |
Aetna
| Professional | $35.33 | $54.15 | $69.09 | |
Cigna
| Professional | $55.95 | $55.95 | $55.95 | |
Kaiser Permanente
| Professional | $36.72 | $51.49 | $143.59 | |
United
| Professional | $47.19 | $171.30 | $181.84 |