| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $840.00 | $888.00 | |
Aetna
| Professional | $30.00 | $30.00 | $640.00 | |
Cigna
| Professional | $322.00 | $560.21 | $699.09 | |
Kaiser Permanente
| Professional | $563.28 | $563.28 | $608.00 | |
United
| Professional | $46.00 | $71.54 | $111.59 |