| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $87.10 | $398.11 | |
Cigna
| Professional | $288.40 | $288.40 | $288.40 | |
Kaiser Permanente
| Professional | $660.69 | $660.69 | $660.69 | |
United
| Professional | $144.54 | $144.54 | $380.19 |