| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $218.78 | |
Aetna
| Professional | $154.88 | $186.21 | $229.09 | |
Cigna
| Professional | $158.49 | $158.49 | $323.59 | |
Kaiser Permanente
| Professional | $194.98 | $229.09 | $389.05 | |
United
| Facility | $177.83 | $1,584.89 | $1,862.09 | |
United
| Professional | $158.49 | $218.78 | $436.52 |