| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $57.54 | $70.79 | |
Cigna
| Professional | $56.23 | $56.23 | $81.28 | |
Kaiser Permanente
| Professional | $61.66 | $70.79 | $89.13 | |
United
| Facility | $47.86 | $47.86 | $50.12 | |
United
| Professional | $50.12 | $69.18 | $131.83 |