| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.17 | $295.12 | $331.13 | |
Cigna
| Facility | $575.44 | $812.83 | $1,148.15 | |
Cigna
| Professional | $218.78 | $218.78 | $1,412.54 | |
Kaiser Permanente
| Professional | $275.42 | $363.08 | $501.19 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 | |
United
| Professional | $257.04 | $354.81 | $602.56 |