| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.84 | $45.12 | $55.87 | |
Cigna
| Professional | $43.15 | $43.15 | $43.15 | |
Kaiser Permanente
| Professional | $33.47 | $41.21 | $107.73 | |
United
| Professional | $49.14 | $110.37 | $123.50 |