| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $416.87 | $426.58 | |
Cigna
| Professional | $426.58 | $426.58 | $426.58 | |
Kaiser Permanente
| Professional | $144.54 | $173.78 | $218.78 | |
United
| Professional | $125.89 | $190.55 | $501.19 |