| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.57 | $82.26 | $102.61 | |
Cigna
| Professional | $78.08 | $78.08 | $129.59 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $89.75 | $123.85 | $175.88 |