| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.23 | $127.04 | $127.04 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $134.79 | $305.66 | $305.66 | |
United
| Professional | $101.27 | $210.48 | $433.35 |