| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $766.09 | $797.04 | $797.04 | |
Cigna
| Professional | $784.55 | $784.55 | $1,183.75 | |
Kaiser Permanente
| Professional | $964.54 | $1,052.22 | $1,096.06 | |
United
| Professional | $769.17 | $1,153.76 | $1,183.75 |