| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $320.51 | $353.47 | $353.47 | |
Cigna
| Professional | $309.19 | $309.19 | $309.19 | |
Kaiser Permanente
| Professional | $380.57 | $857.35 | $857.35 | |
United
| Professional | $417.01 | $981.39 | $1,215.52 |