| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.46 | $259.83 | $275.54 | |
Cigna
| Facility | $485.00 | $485.00 | $513.90 | |
Kaiser Permanente
| Professional | $268.22 | $299.54 | $407.69 | |
United
| Facility | $445.00 | $445.00 | $445.00 | |
United
| Professional | $214.85 | $263.95 | $481.31 |