| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $10.00 | $10.00 | |
Cigna
| Professional | $10.72 | $10.72 | $12.88 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $19.95 | $28.18 | $39.81 |