| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.25 | $213.25 | $213.25 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
Kaiser Permanente
| Professional | $306.66 | $334.54 | $348.48 | |
United
| Professional | $245.24 | $300.00 | $450.00 |