| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.51 | $2,131.00 | $2,599.00 | |
Aetna
| Professional | $337.51 | $337.51 | $1,037.28 | |
Cigna
| Facility | $2,573.00 | $6,781.94 | $6,781.94 | |
Kaiser Permanente
| Professional | $289.99 | $347.14 | $695.18 | |
United
| Professional | $764.66 | $1,033.32 | $2,966.83 |