| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.62 | $59.91 | $65.56 | |
Cigna
| Professional | $55.95 | $55.95 | $81.44 | |
Kaiser Permanente
| Professional | $62.31 | $74.05 | $141.62 | |
United
| Facility | $47.32 | $47.32 | $50.62 | |
United
| Professional | $50.62 | $79.19 | $148.88 |