| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $34.67 | $46.77 | |
Cigna
| Professional | $20.89 | $20.89 | $53.70 | |
Kaiser Permanente
| Professional | $77.62 | $77.62 | $77.62 | |
United
| Professional | $12.88 | $26.30 | $58.88 |