| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.56 | $174.77 | $174.77 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Kaiser Permanente
| Professional | $187.16 | $420.99 | $420.99 | |
United
| Professional | $149.50 | $228.90 | $596.86 |