| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $540.96 | $652.53 | $723.60 | |
Cigna
| Professional | $572.40 | $623.51 | $678.46 | |
Kaiser Permanente
| Professional | $657.45 | $788.94 | $1,431.01 | |
United
| Professional | $394.95 | $656.47 | $1,400.97 |