| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.83 | $370.19 | $570.39 | |
Aetna
| Professional | $98.83 | $171.60 | $198.18 | |
Cigna
| Professional | $78.91 | $78.91 | $78.91 | |
Kaiser Permanente
| Professional | $75.06 | $110.66 | $150.11 | |
United
| Professional | $110.99 | $194.98 | $334.71 |