| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.26 | $234.01 | $234.01 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Kaiser Permanente
| Professional | $244.67 | $554.87 | $554.87 | |
United
| Professional | $174.66 | $390.26 | $786.66 |