| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $81.28 | $95.50 | $120.23 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Kaiser Permanente
| Professional | $74.13 | $85.11 | $234.42 | |
United
| Professional | $83.18 | $128.82 | $245.47 |