| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.06 | $78.68 | $78.68 | |
Cigna
| Professional | $89.84 | $89.84 | $107.63 | |
Kaiser Permanente
| Professional | $150.00 | $150.00 | $150.00 | |
United
| Professional | $92.57 | $92.57 | $150.04 |