| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.81 | $139.41 | $159.27 | |
Cigna
| Professional | $128.26 | $128.26 | $231.35 | |
Kaiser Permanente
| Professional | $58.12 | $125.98 | $336.68 | |
United
| Professional | $112.61 | $179.19 | $426.35 |