| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.15 | $175.43 | $175.43 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Kaiser Permanente
| Professional | $185.70 | $421.79 | $421.79 | |
United
| Professional | $143.10 | $423.52 | $597.99 |