| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.81 | $62.36 | $70.23 | |
Cigna
| Professional | $50.31 | $50.31 | $87.68 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $57.65 | $79.81 | $113.33 |