| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $380.19 | $1,000.00 | |
Cigna
| Facility | $645.65 | $645.65 | $1,348.96 | |
Cigna
| Professional | $371.54 | $371.54 | $446.68 | |
Kaiser Permanente
| Professional | $380.19 | $426.58 | $645.65 | |
United
| Facility | $36.31 | $40.74 | $389.05 | |
United
| Professional | $338.84 | $478.63 | $831.76 |