| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $147.91 | $446.68 | |
Aetna
| Professional | $50.12 | $53.70 | $194.98 | |
Cigna
| Facility | $117.49 | $123.03 | $275.42 | |
Cigna
| Professional | $39.81 | $83.18 | $104.71 | |
Kaiser Permanente
| Professional | $125.89 | $125.89 | $147.91 | |
United
| Facility | $87.10 | $87.10 | $87.10 | |
United
| Professional | $30.20 | $43.65 | $91.20 |