| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $246.27 | $323.02 | $345.40 | |
Cigna
| Facility | $485.00 | $485.00 | $513.90 | |
Kaiser Permanente
| Professional | $345.40 | $394.74 | $524.94 | |
United
| Facility | $445.00 | $445.00 | $445.00 | |
United
| Professional | $282.52 | $344.38 | $674.98 |