| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.09 | $278.79 | $330.18 | |
Cigna
| Professional | $378.23 | $378.23 | $532.45 | |
Kaiser Permanente
| Professional | $406.84 | $499.27 | $959.86 | |
United
| Professional | $284.25 | $379.45 | $1,154.75 |