| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.60 | $95.95 | $95.95 | |
Cigna
| Professional | $45.92 | $45.92 | $118.46 | |
Kaiser Permanente
| Professional | $61.17 | $70.83 | $132.49 | |
United
| Professional | $44.10 | $63.00 | $162.03 |