| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $414.08 | $414.08 | $414.08 | |
Aetna
| Professional | $362.01 | $414.08 | $438.37 | |
Cigna
| Professional | $367.33 | $505.66 | $1,486.07 | |
Kaiser Permanente
| Professional | $397.72 | $467.91 | $958.36 | |
United
| Professional | $297.44 | $367.84 | $1,036.65 |