| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $40.74 | $338.84 | |
Aetna
| Professional | $40.74 | $42.66 | $134.90 | |
Cigna
| Facility | $91.20 | $93.33 | $213.80 | |
Cigna
| Professional | $30.20 | $64.57 | $79.43 | |
Kaiser Permanente
| Professional | $97.72 | $97.72 | $112.20 | |
United
| Facility | $66.07 | $66.07 | $66.07 | |
United
| Professional | $23.44 | $33.11 | $69.18 |