| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.17 | $234.42 | $295.12 | |
Cigna
| Professional | $245.47 | $295.12 | $575.44 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $204.17 | $275.42 | $436.52 |