| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.92 | $209.51 | $6,036.72 | |
Aetna
| Professional | $78.95 | $89.92 | $504.00 | |
Cigna
| Professional | $78.98 | $100.64 | $322.13 | |
Kaiser Permanente
| Professional | $86.17 | $101.38 | $208.80 | |
United
| Professional | $61.67 | $76.19 | $225.72 |