| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.72 | $395.72 | $395.72 | |
Aetna
| Professional | $395.72 | $438.83 | $1,045.60 | |
Cigna
| Professional | $131.00 | $163.75 | $204.69 | |
Kaiser Permanente
| Professional | $171.94 | $202.96 | $375.85 | |
United
| Professional | $712.16 | $1,004.73 | $1,552.10 |