| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Aetna
| Professional | $190.55 | $257.04 | $302.00 | |
Cigna
| Professional | $323.59 | $323.59 | $457.09 | |
Kaiser Permanente
| Professional | $389.05 | $436.52 | $549.54 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
United
| Professional | $213.80 | $363.08 | $524.81 |