| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,187.33 | $1,217.90 | $1,217.90 | |
Cigna
| Facility | $334.42 | $334.42 | $334.42 | |
Cigna
| Professional | $1,013.41 | $1,013.41 | $1,013.41 | |
Kaiser Permanente
| Professional | $40.32 | $286.51 | $358.14 | |
United
| Professional | $500.23 | $1,471.91 | $1,633.71 |