| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.39 | $815.23 | $922.04 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $656.40 | $863.69 | $1,640.25 | |
United
| Facility | $36.00 | $36.00 | $41.00 | |
United
| Professional | $336.46 | $475.48 | $819.84 |