| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.18 | $93.25 | $106.39 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Cigna
| Professional | $120.05 | $120.05 | $143.83 | |
Kaiser Permanente
| Professional | $94.93 | $122.81 | $159.90 | |
United
| Facility | $36.00 | $37.00 | $89.22 | |
United
| Professional | $72.91 | $106.10 | $198.72 |