| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.57 | $87.57 | $300.00 | |
Cigna
| Professional | $285.29 | $285.29 | $285.29 | |
Kaiser Permanente
| Professional | $660.00 | $660.00 | $660.00 | |
United
| Professional | $367.00 | $367.00 | $367.00 |