| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.90 | $164.75 | $575.67 | |
Cigna
| Professional | $183.96 | $183.96 | $183.96 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $188.76 | $215.05 | $322.58 |