| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.53 | $117.46 | $130.38 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $85.53 | $105.27 | $275.27 | |
United
| Professional | $114.70 | $189.64 | $291.52 |