| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $724.44 | $831.76 | |
Aetna
| Professional | $100.00 | $398.11 | $1,122.02 | |
Cigna
| Facility | $51.29 | $51.29 | $147.91 | |
Cigna
| Professional | $77.62 | $123.03 | $398.11 | |
Kaiser Permanente
| Professional | $97.72 | $112.20 | $151.36 |