| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $321.58 | $354.47 | $394.52 | |
Cigna
| Professional | $310.38 | $310.38 | $310.38 | |
Kaiser Permanente
| Professional | $382.00 | $861.30 | $861.30 | |
United
| Professional | $388.66 | $479.00 | $1,221.10 |