| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $933.25 | |
Aetna
| Professional | $114.82 | $120.23 | $416.87 | |
Cigna
| Facility | $251.19 | $257.04 | $588.84 | |
Cigna
| Professional | $83.18 | $177.83 | $218.78 | |
Kaiser Permanente
| Professional | $269.15 | $269.15 | $309.03 | |
United
| Facility | $186.21 | $186.21 | $186.21 | |
United
| Professional | $64.57 | $91.20 | $190.55 |