| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.72 | $150.29 | $155.37 | |
Cigna
| Professional | $124.33 | $124.33 | $139.16 | |
Kaiser Permanente
| Professional | $139.16 | $167.00 | $222.04 | |
United
| Professional | $113.80 | $154.10 | $270.81 |