| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.12 | $549.54 | $1,047.13 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $602.56 | $676.08 | $1,174.90 | |
United
| Facility | $36.31 | $40.74 | $407.38 | |
United
| Professional | $338.84 | $478.63 | $851.14 |