| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.09 | $47.09 | $47.09 | |
Aetna
| Professional | $42.46 | $47.09 | $47.09 | |
Cigna
| Facility | $505.36 | $754.48 | $897.15 | |
Kaiser Permanente
| Professional | $33.64 | $73.62 | $73.62 | |
United
| Professional | $37.31 | $48.95 | $108.52 |