| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $208.93 | $6,025.60 | |
Aetna
| Professional | $77.62 | $93.33 | $831.76 | |
Cigna
| Professional | $79.43 | $95.50 | $302.00 | |
Kaiser Permanente
| Professional | $102.33 | $107.15 | $162.18 | |
United
| Facility | $66.07 | $66.07 | $66.07 | |
United
| Professional | $63.10 | $87.10 | $223.87 |