| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.62 | $87.90 | $108.63 | |
Cigna
| Facility | $125.64 | $125.64 | $125.64 | |
Cigna
| Professional | $42.71 | $68.17 | $227.20 | |
Kaiser Permanente
| Professional | $82.92 | $105.35 | $180.52 | |
United
| Professional | $38.56 | $59.93 | $90.05 |