| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.79 | $68.63 | $83.87 | |
Cigna
| Facility | $93.13 | $93.13 | $93.13 | |
Cigna
| Professional | $93.13 | $93.13 | $93.13 | |
Kaiser Permanente
| Professional | $100.14 | $112.65 | $146.44 | |
United
| Professional | $91.30 | $91.30 | $96.32 |