| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.80 | $119.99 | $123.61 | |
Cigna
| Professional | $67.76 | $67.76 | $227.96 | |
Kaiser Permanente
| Professional | $290.14 | $290.14 | $290.14 | |
United
| Professional | $55.14 | $91.26 | $258.47 |