| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.68 | $197.96 | $223.42 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Kaiser Permanente
| Professional | $143.65 | $176.80 | $463.90 | |
United
| Professional | $196.42 | $441.42 | $502.94 |