| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.40 | $181.45 | $181.45 | |
Cigna
| Professional | $68.73 | $68.73 | $224.19 | |
Kaiser Permanente
| Professional | $91.57 | $106.03 | $198.35 | |
United
| Professional | $65.80 | $94.00 | $242.58 |