| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $354.81 | $478.63 | |
Cigna
| Professional | $457.09 | $457.09 | $707.95 | |
Kaiser Permanente
| Professional | $524.81 | $630.96 | $724.44 | |
United
| Professional | $524.81 | $524.81 | $776.25 |