| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.91 | $88.72 | $156.69 | |
Cigna
| Facility | $25.00 | $27.00 | $250.00 | |
Cigna
| Professional | $74.15 | $99.38 | $179.04 | |
Kaiser Permanente
| Professional | $81.11 | $106.45 | $152.08 | |
United
| Professional | $65.25 | $85.98 | $155.05 |