| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.86 | $221.25 | $244.26 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Kaiser Permanente
| Professional | $143.65 | $176.80 | $463.90 | |
United
| Professional | $195.31 | $329.56 | $506.62 |