| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $891.25 | $1,071.52 | $1,096.48 | |
Cigna
| Professional | $1,096.48 | $1,096.48 | $1,659.59 | |
Kaiser Permanente
| Professional | $1,230.27 | $1,479.11 | $1,737.80 | |
United
| Professional | $1,230.27 | $1,230.27 | $1,862.09 |