| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $190.55 | $239.88 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Kaiser Permanente
| Professional | $154.88 | $177.83 | $467.74 | |
United
| Professional | $169.82 | $269.15 | $489.78 |