| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.62 | $81.29 | $90.64 | |
Cigna
| Professional | $63.90 | $105.00 | $255.86 | |
Kaiser Permanente
| Professional | $59.14 | $86.44 | $187.41 | |
United
| Professional | $66.29 | $193.22 | $241.69 |