| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $87.10 | $398.11 | |
Cigna
| Professional | $104.71 | $144.54 | $245.47 | |
Kaiser Permanente
| Professional | $588.84 | $660.69 | $776.25 | |
United
| Professional | $81.28 | $81.28 | $81.28 |