| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.70 | $73.72 | $84.69 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Kaiser Permanente
| Professional | $54.42 | $66.98 | $174.34 | |
United
| Professional | $64.58 | $163.80 | $189.86 |