| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.12 | $196.42 | $227.29 | |
Cigna
| Facility | $485.00 | $485.00 | $513.90 | |
Kaiser Permanente
| Professional | $164.15 | $187.59 | $247.12 | |
United
| Facility | $89.00 | $89.00 | $89.00 | |
United
| Professional | $185.72 | $229.54 | $411.07 |