| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.28 | $307.42 | $392.99 | |
Cigna
| Facility | $485.00 | $485.00 | $513.90 | |
Kaiser Permanente
| Professional | $284.93 | $325.63 | $429.01 | |
United
| Facility | $89.00 | $89.00 | $89.00 | |
United
| Professional | $321.17 | $399.52 | $694.90 |