| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.03 | $202.28 | $247.22 | |
Cigna
| Professional | $216.38 | $216.38 | $216.38 | |
Kaiser Permanente
| Professional | $274.42 | $354.00 | $411.63 | |
United
| Professional | $254.57 | $254.57 | $267.30 |