| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $329.55 | $382.15 | $454.61 | |
Cigna
| Facility | $7,021.18 | $7,021.18 | $7,021.18 | |
Kaiser Permanente
| Professional | $363.89 | $463.39 | $787.96 | |
United
| Facility | $3,677.00 | $3,677.00 | $3,677.00 | |
United
| Professional | $356.26 | $473.62 | $909.18 |