| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $4,456.00 | $5,299.00 | |
Aetna
| Professional | 50 | $467.85 | $1,770.00 | $1,770.00 |
Cigna
| Facility | $626.15 | $626.15 | $626.15 | |
Kaiser Permanente
| Professional | $377.83 | $2,240.28 | $2,718.79 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |