| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.20 | $96.10 | $115.85 | |
Cigna
| Professional | $36.22 | $45.29 | $56.61 | |
Kaiser Permanente
| Professional | $47.55 | $56.13 | $136.43 | |
United
| Facility | $458.00 | $458.00 | $458.00 | |
United
| Professional | $61.50 | $83.79 | $131.09 |