| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $2,511.89 | $2,754.23 | |
Cigna
| Facility | $512.86 | $1,318.26 | $1,862.09 | |
Cigna
| Facility | 52 | $144.54 | $144.54 | $144.54 |
Kaiser Permanente
| Professional | $87.10 | $114.82 | $162.18 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |