| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.06 | $87.21 | $89.31 | |
Cigna
| Professional | $84.16 | $89.31 | $89.31 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $87.56 | $89.45 | $131.34 |