| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $287.57 | $402.86 | $491.31 | |
Cigna
| Facility | $485.00 | $485.00 | $513.90 | |
Kaiser Permanente
| Professional | $351.42 | $405.28 | $528.63 | |
United
| Facility | $2,118.00 | $2,118.00 | $2,118.00 | |
United
| Professional | $221.92 | $258.52 | $491.82 |