| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $235.35 | $320.33 | $363.22 | |
Cigna
| Facility | $507.00 | $641.21 | $10,655.92 | |
Kaiser Permanente
| Professional | $264.44 | $342.10 | $445.38 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 | |
United
| Professional | $203.26 | $297.07 | $524.72 |