| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Aetna
| Professional | $90.00 | $90.00 | $90.00 | |
Cigna
| Professional | $90.59 | $90.59 | $127.90 | |
Kaiser Permanente
| Professional | $65.34 | $109.40 | $129.01 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $90.59 | $122.55 | $153.93 |