| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $958.65 | $997.37 | $997.37 | |
Cigna
| Professional | $981.75 | $981.75 | $1,481.29 | |
Kaiser Permanente
| Professional | $1,206.98 | $1,316.70 | $1,371.56 | |
United
| Professional | $962.50 | $1,443.75 | $1,481.29 |