| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.64 | $63.64 | $63.64 | |
Aetna
| Professional | $52.48 | $63.64 | $63.64 | |
Cigna
| Professional | $50.86 | $50.86 | $50.86 | |
Kaiser Permanente
| Professional | $67.76 | $71.33 | $146.78 | |
United
| Professional | $60.55 | $60.55 | $98.14 |