| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $63.10 | $74.13 | |
Cigna
| Professional | $38.02 | $38.02 | $77.62 | |
Kaiser Permanente
| Professional | $112.20 | $112.20 | $112.20 | |
United
| Professional | $12.88 | $47.86 | $87.10 |