| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $406.78 | $471.67 | $673.80 | |
Cigna
| Facility | $15,075.12 | $15,075.12 | $15,075.12 | |
Kaiser Permanente
| Professional | $448.80 | $571.59 | $972.59 | |
United
| Professional | $538.52 | $701.89 | $1,255.29 |