| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $457.09 | |
Aetna
| Professional | $316.23 | $457.09 | $537.03 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Kaiser Permanente
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Professional | $436.52 | $512.86 | $645.65 |