| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.86 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $86.86 | $86.86 | $86.86 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
Kaiser Permanente
| Professional | $188.90 | $188.90 | $188.90 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $79.42 | $107.78 | $8,520.33 |