| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.50 | $234.33 | $234.33 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Kaiser Permanente
| Professional | $239.18 | $556.51 | $556.51 | |
United
| Professional | $204.97 | $789.00 | $789.00 |