| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $57.54 | $67.61 | $91.20 | |
Cigna
| Professional | $60.26 | $89.13 | $177.83 | |
Kaiser Permanente
| Professional | $53.70 | $75.86 | $95.50 | |
United
| Facility | $47.86 | $89.13 | $128.82 | |
United
| Professional | $60.26 | $83.18 | $128.82 |