| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.94 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $461.94 | $563.94 | $6,249.99 | |
Cigna
| Professional | $479.73 | $679.62 | $2,055.48 | |
Kaiser Permanente
| Professional | $524.34 | $942.72 | $1,132.44 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 | |
United
| Professional | $381.06 | $602.19 | $1,241.35 |