| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $220.13 | $243.46 | $253.30 | |
Cigna
| Facility | $2,060.31 | $2,060.31 | $2,060.31 | |
Kaiser Permanente
| Professional | $385.50 | $513.04 | $855.08 | |
United
| Professional | $202.43 | $290.08 | $580.16 |