| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $307.26 | $307.26 | $307.26 | |
Cigna
| Facility | $334.42 | $334.42 | $334.42 | |
Cigna
| Professional | $1,398.52 | $1,398.52 | $1,398.52 | |
Kaiser Permanente
| Professional | $40.32 | $286.51 | $358.14 | |
United
| Professional | $174.30 | $429.77 | $513.34 |