| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.87 | $82.39 | $92.44 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Kaiser Permanente
| Professional | $54.42 | $66.98 | $174.34 | |
United
| Professional | $73.84 | $165.75 | $192.64 |