| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $158.49 | $194.98 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Kaiser Permanente
| Professional | $131.83 | $151.36 | $389.05 | |
United
| Professional | $138.04 | $213.80 | $407.38 |