| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.62 | $62.62 | $62.62 | |
Aetna
| Professional | $46.38 | $59.51 | $77.17 | |
Cigna
| Facility | $68.97 | $68.97 | $68.97 | |
Cigna
| Professional | $50.86 | $50.86 | $50.86 | |
Kaiser Permanente
| Professional | $60.80 | $78.45 | $114.13 | |
United
| Professional | $60.55 | $60.55 | $62.07 |