| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $196.38 | $257.33 | $300.45 | |
Cigna
| Facility | $507.00 | $641.21 | $11,154.64 | |
Kaiser Permanente
| Professional | $262.01 | $338.92 | $441.28 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 | |
United
| Professional | $218.27 | $318.47 | $623.44 |