| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.00 | $22.00 | $39.14 | |
Cigna
| Professional | $18.97 | $18.97 | $44.52 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $23.40 | $33.79 | $42.82 |