| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $324.61 | $393.35 | $533.42 | |
Cigna
| Facility | $150.00 | $160.00 | $468.71 | |
Cigna
| Professional | $355.80 | $479.29 | $826.44 | |
Kaiser Permanente
| Professional | $374.33 | $491.31 | $701.86 | |
United
| Professional | $306.19 | $407.82 | $711.96 |