| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.83 | $286.02 | $385.65 | |
Cigna
| Facility | $517.19 | $517.19 | $517.19 | |
Cigna
| Professional | $378.23 | $378.23 | $378.23 | |
Kaiser Permanente
| Professional | $385.80 | $496.64 | $647.79 | |
United
| Professional | $285.36 | $386.37 | $682.79 | |
Wellpoint
| Professional | $457.48 | $561.45 | $623.84 |