| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Aetna
| Professional | 50 | $98.88 | $427.23 | $427.23 |
Cigna
| Facility | $205.09 | $205.09 | $205.09 | |
Kaiser Permanente
| Professional | $123.32 | $255.97 | $310.64 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |