| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $128.82 | $128.82 | |
Cigna
| Professional | $13.18 | $13.18 | $13.18 | |
Kaiser Permanente
| Professional | $275.42 | $275.42 | $309.03 | |
Select Health
| Professional | $1.00 | $1.00 | $288.40 | |
United
| Professional | $218.78 | $218.78 | $218.78 |