| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $114.82 | $151.36 | |
Cigna
| Professional | $67.61 | $67.61 | $204.17 | |
Kaiser Permanente
| Professional | $295.12 | $295.12 | $295.12 | |
United
| Professional | $15.14 | $87.10 | $229.09 |