| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $89.13 | $100.00 | |
Cigna
| Professional | $51.29 | $51.29 | $190.55 | |
Kaiser Permanente
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Professional | $15.14 | $57.54 | $208.93 |