| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $1,050.00 | $1,110.00 | |
Aetna
| Professional | $30.00 | $30.00 | $800.00 | |
Cigna
| Professional | $414.00 | $720.27 | $898.83 | |
Kaiser Permanente
| Professional | $704.10 | $704.10 | $760.00 | |
United
| Professional | $46.00 | $71.54 | $111.59 |