| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $234.42 | $281.84 | |
Aetna
| Professional | $85.11 | $100.00 | $112.20 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Kaiser Permanente
| Professional | $85.11 | $85.11 | $85.11 | |
United
| Professional | $93.33 | $109.65 | $141.25 |