| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $165.96 | $275.42 | |
Aetna
| Professional | $37.15 | $50.12 | $85.11 | |
Cigna
| Facility | $53.70 | $53.70 | $53.70 | |
Kaiser Permanente
| Professional | $47.86 | $47.86 | $47.86 | |
United
| Professional | $44.67 | $53.70 | $69.18 |