| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.90 | $72.20 | $72.20 | |
Cigna
| Professional | $11.55 | $11.55 | $89.04 | |
Kaiser Permanente
| Professional | $15.38 | $17.80 | $33.32 | |
United
| Professional | $10.50 | $17.25 | $35.54 |