| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $54.95 | $77.62 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $56.23 | $60.26 | $64.57 |