| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $1,995.26 | |
Aetna
| Professional | $239.88 | $251.19 | $263.03 | |
Cigna
| Facility | $524.81 | $549.54 | $1,230.27 | |
Cigna
| Professional | $371.54 | $371.54 | $467.74 | |
Kaiser Permanente
| Professional | $630.96 | $630.96 | $630.96 | |
United
| Facility | $389.05 | $389.05 | $389.05 | |
United
| Professional | $134.90 | $194.98 | $446.68 |