| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.32 | $284.32 | $284.32 | |
Aetna
| Professional | $255.05 | $272.07 | $321.82 | |
Cigna
| Professional | $22.70 | $22.70 | $22.70 | |
Kaiser Permanente
| Professional | $210.44 | $309.02 | $411.00 | |
United
| Professional | $258.47 | $258.47 | $258.47 |