| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $269.15 | $323.59 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
Kaiser Permanente
| Professional | $251.19 | $338.84 | $426.58 | |
United
| Professional | $257.04 | $257.04 | $257.04 |