| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.28 | $230.72 | $558.34 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Kaiser Permanente
| Professional | $244.67 | $554.07 | $554.07 | |
United
| Professional | $196.19 | $288.16 | $785.54 |