| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.93 | $126.71 | $126.71 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Kaiser Permanente
| Professional | $134.05 | $304.05 | $304.05 | |
United
| Professional | $118.03 | $341.67 | $431.07 |