| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $51.29 | $426.58 | |
Aetna
| Professional | $36.31 | $52.48 | $54.95 | |
Cigna
| Facility | $112.20 | $117.49 | $263.03 | |
Cigna
| Professional | $38.02 | $79.43 | $100.00 | |
Kaiser Permanente
| Professional | $131.83 | $131.83 | $141.25 | |
United
| Facility | $83.18 | $83.18 | $83.18 | |
United
| Professional | $28.84 | $41.69 | $102.33 |