| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.43 | $131.28 | $142.36 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $85.53 | $105.27 | $275.27 | |
United
| Professional | $114.14 | $256.04 | $296.12 |