| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $331.13 | |
Aetna
| Professional | $39.81 | $41.69 | $125.89 | |
Cigna
| Facility | $89.13 | $91.20 | $208.93 | |
Cigna
| Professional | $29.51 | $61.66 | $77.62 | |
Kaiser Permanente
| Professional | $95.50 | $95.50 | $109.65 | |
United
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Professional | $22.91 | $32.36 | $67.61 |