| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.22 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $276.22 | $276.22 | $276.22 | |
Cigna
| Facility | $20,748.00 | $20,748.00 | $31,779.00 | |
Kaiser Permanente
| Professional | $568.99 | $568.99 | $568.99 | |
United
| Professional | $183.54 | $367.36 | $460.94 |