| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.03 | $93.83 | $101.81 | |
Cigna
| Professional | $86.90 | $86.90 | $116.07 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $84.15 | $114.04 | $151.51 |