| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.38 | $228.24 | $306.30 | |
Aetna
| Professional | $205.25 | $225.97 | $272.83 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Kaiser Permanente
| Professional | $192.91 | $282.04 | $375.11 | |
United
| Professional | $207.49 | $207.49 | $207.49 |