| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $496.87 | $496.87 | $508.84 | |
Cigna
| Professional | $508.84 | $664.07 | $781.26 | |
Kaiser Permanente
| Professional | $636.58 | $694.45 | $810.19 | |
United
| Professional | $498.87 | $703.13 | $781.26 |