| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Aetna
| Professional | $85.49 | $89.47 | $96.00 | |
Cigna
| Professional | $126.72 | $126.72 | $126.72 | |
Kaiser Permanente
| Professional | $85.02 | $184.33 | $184.33 | |
United
| Professional | $68.92 | $122.06 | $245.33 |