| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.77 | $1,025.52 | $2,599.00 | |
Aetna
| Professional | $423.77 | $423.77 | $1,037.28 | |
Cigna
| Facility | $2,573.00 | $6,781.94 | $6,781.94 | |
Kaiser Permanente
| Professional | $389.72 | $466.51 | $872.66 | |
United
| Professional | $317.60 | $440.31 | $975.58 |