| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.65 | $1,550.00 | $1,925.00 | |
Aetna
| Professional | $203.46 | $225.65 | $225.65 | |
Cigna
| Facility | $488.18 | $1,286.74 | $1,286.74 | |
Kaiser Permanente
| Professional | $207.69 | $248.58 | $465.00 | |
United
| Professional | $121.28 | $199.97 | $654.92 |