| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $283.68 | $397.79 | $988.59 | |
Cigna
| Facility | $641.21 | $641.21 | $1,335.00 | |
Cigna
| Professional | $370.07 | $370.07 | $443.39 | |
Kaiser Permanente
| Professional | $402.02 | $520.02 | $677.09 | |
United
| Facility | $36.00 | $36.00 | $41.00 | |
United
| Professional | $325.16 | $477.93 | $839.62 |