| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.05 | $382.05 | $382.05 | |
Aetna
| Professional | $245.72 | $382.05 | $382.05 | |
Cigna
| Professional | $359.63 | $359.63 | $630.55 | |
Kaiser Permanente
| Professional | $428.68 | $504.33 | $1,037.75 | |
United
| Professional | $263.41 | $345.83 | $583.38 |