| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.87 | $231.38 | $231.38 | |
Cigna
| Professional | $199.09 | $199.09 | $199.09 | |
Kaiser Permanente
| Professional | $245.03 | $555.67 | $555.67 | |
United
| Professional | $188.07 | $701.16 | $787.82 |