| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $714.25 | $885.44 | $1,540.67 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $692.44 | $911.10 | $1,633.89 | |
United
| Facility | $36.00 | $36.00 | $41.00 | |
United
| Professional | $348.41 | $792.16 | $1,468.84 |