| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $42.66 | $54.95 | |
Cigna
| Professional | $25.70 | $25.70 | $70.79 | |
Kaiser Permanente
| Professional | $102.33 | $102.33 | $102.33 | |
United
| Professional | $10.96 | $32.36 | $79.43 |