| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.18 | $315.16 | $915.75 | |
Aetna
| Professional | $177.10 | $282.50 | $331.24 | |
Cigna
| Facility | $145.97 | $145.97 | $145.97 | |
Cigna
| Professional | $16.00 | $16.00 | $16.00 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $98.34 |