| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.46 | $203.46 | $203.46 | |
Aetna
| Professional | $192.55 | $223.25 | $275.00 | |
Cigna
| Facility | $101.98 | $101.98 | $101.98 | |
Cigna
| Professional | $225.00 | $225.00 | $275.00 | |
Kaiser Permanente
| Professional | $197.31 | $238.84 | $311.54 | |
United
| Facility | $103.96 | $315.62 | $315.63 | |
United
| Professional | $101.45 | $180.36 | $319.57 |