| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $184.44 | $213.90 | $308.77 | |
Cigna
| Professional | $146.27 | $146.27 | $146.27 | |
Kaiser Permanente
| Professional | $146.44 | $215.92 | $292.89 | |
United
| Facility | $108.10 | $180.18 | $288.27 | |
United
| Professional | $113.74 | $188.61 | $352.33 |