| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.02 | $104.34 | $112.99 | |
Cigna
| Facility | $624.00 | $650.00 | $2,277.00 | |
Cigna
| Professional | $28.62 | $34.29 | $78.11 | |
Kaiser Permanente
| Professional | $93.50 | $118.10 | $150.35 | |
United
| Professional | $61.33 | $82.82 | $159.47 |