| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.08 | $218.08 | $218.08 | |
Aetna
| Professional | $157.46 | $197.36 | $218.08 | |
Cigna
| Professional | $156.72 | $156.72 | $323.95 | |
Kaiser Permanente
| Professional | $212.82 | $224.02 | $452.24 | |
United
| Professional | $158.59 | $220.33 | $440.66 |