| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $46.77 | $63.10 | |
Cigna
| Professional | $28.18 | $28.18 | $69.18 | |
Kaiser Permanente
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $10.96 | $36.31 | $77.62 |