| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.53 | $127.37 | $127.37 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $134.79 | $306.47 | $306.47 | |
United
| Professional | $116.93 | $341.67 | $434.50 |