| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.98 | $289.97 | $3,097.32 | |
Cigna
| Facility | $211.25 | $599.00 | $2,530.00 | |
Cigna
| Facility | AS | $20.54 | $20.54 | $20.54 |
Kaiser Permanente
| Professional | $177.99 | $220.71 | $316.43 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 |