| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $707.95 | |
Aetna
| Professional | $79.43 | $85.11 | $91.20 | |
Cigna
| Facility | $186.21 | $194.98 | $436.52 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
Kaiser Permanente
| Professional | $199.53 | $199.53 | $199.53 | |
United
| Facility | $138.04 | $138.04 | $138.04 | |
United
| Professional | $47.86 | $69.18 | $144.54 |