| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $38.90 | $46.77 | |
Cigna
| Professional | $22.39 | $22.39 | $46.77 | |
Kaiser Permanente
| Professional | $67.61 | $67.61 | $67.61 | |
United
| Professional | $10.96 | $26.30 | $58.88 |