| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.85 | $227.95 | $258.16 | |
Cigna
| Professional | $256.11 | $296.74 | $472.20 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $201.38 | $264.05 | $402.15 |