| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.28 | $177.88 | $177.88 | |
Aetna
| Professional | $159.40 | $177.88 | $219.83 | |
Cigna
| Professional | $45.05 | $45.05 | $45.05 | |
Kaiser Permanente
| Professional | $156.60 | $226.98 | $301.88 | |
United
| Professional | $161.71 | $161.71 | $161.71 |