| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.65 | $1,550.00 | $1,925.00 | |
Aetna
| Professional | $203.46 | $225.65 | $225.65 | |
Cigna
| Facility | $289.32 | $762.57 | $762.57 | |
Kaiser Permanente
| Professional | $207.69 | $248.58 | $465.00 | |
United
| Professional | $90.16 | $283.77 | $391.72 |