| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $371.54 | $691.83 | |
Aetna
| Professional | $177.83 | $275.42 | $562.34 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Kaiser Permanente
| Professional | $223.87 | $223.87 | $223.87 | |
United
| Professional | $275.42 | $323.59 | $416.87 |