| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $420.00 | $444.00 | |
Aetna
| Professional | $30.00 | $30.00 | $320.00 | |
Cigna
| Professional | $138.00 | $240.09 | $299.61 | |
Kaiser Permanente
| Professional | $281.64 | $281.64 | $304.00 | |
United
| Professional | $46.00 | $70.00 | $111.59 |