| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.92 | $283.48 | $303.14 | |
Cigna
| Facility | $507.00 | $641.21 | $5,622.82 | |
Kaiser Permanente
| Professional | $159.08 | $205.82 | $496.52 | |
United
| Facility | $123.00 | $123.00 | $158.00 | |
United
| Professional | $212.78 | $310.81 | $515.74 |