| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.97 | $222.36 | $268.26 | |
Cigna
| Facility | $1,835.66 | $1,835.66 | $1,835.66 | |
Kaiser Permanente
| Professional | $339.63 | $410.91 | $510.82 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 | |
United
| Professional | $189.98 | $279.62 | $466.67 |