| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.20 | $79.20 | $196.73 | |
Cigna
| Professional | $68.73 | $68.73 | $224.19 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $84.91 | $122.20 | $154.82 |