| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $61.66 | $70.79 | |
Cigna
| Professional | $37.15 | $37.15 | $95.50 | |
Kaiser Permanente
| Professional | $138.04 | $138.04 | $138.04 | |
United
| Professional | $12.88 | $45.71 | $107.15 |