| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.00 | $109.25 | $109.25 | |
Cigna
| Professional | $38.22 | $38.22 | $134.75 | |
Kaiser Permanente
| Professional | $50.91 | $58.95 | $110.27 | |
United
| Professional | $37.00 | $57.50 | $126.35 |