| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.36 | $117.02 | $748.21 | |
Cigna
| Professional | $160.97 | $630.72 | $630.72 | |
Kaiser Permanente
| Professional | $74.14 | $141.22 | $183.59 | |
United
| Professional | $59.84 | $215.28 | $355.06 |