| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $609.66 | $609.66 | $634.29 | |
Cigna
| Professional | $624.36 | $1,077.92 | $1,268.14 | |
Kaiser Permanente
| Professional | $1,074.29 | $1,171.96 | $1,367.28 | |
United
| Professional | $612.11 | $918.17 | $1,268.14 |