| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $87.10 | $102.33 | |
Cigna
| Professional | $50.12 | $50.12 | $141.25 | |
Kaiser Permanente
| Professional | $204.17 | $204.17 | $204.17 | |
United
| Professional | $15.14 | $58.88 | $154.88 |