| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.59 | $115.52 | $115.52 | |
Cigna
| Professional | $96.42 | $96.42 | $126.01 | |
Kaiser Permanente
| Professional | $109.79 | $127.13 | $241.75 | |
United
| Professional | $85.29 | $129.08 | $300.44 |