| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.99 | $185.90 | $197.42 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Kaiser Permanente
| Professional | $120.39 | $148.18 | $389.06 | |
United
| Professional | $157.97 | $354.59 | $410.72 |