| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $44.67 | $60.26 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Kaiser Permanente
| Professional | $35.48 | $40.74 | $109.65 | |
United
| Professional | $41.69 | $64.57 | $114.82 |