| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $2,137.96 | $7,762.47 | |
Aetna
| Professional | $446.68 | $512.86 | $6,309.57 | |
Cigna
| Professional | $407.38 | $676.08 | $2,137.96 | |
Kaiser Permanente
| Professional | $501.19 | $524.81 | $1,122.02 | |
United
| Facility | $645.65 | $2,290.87 | $6,309.57 | |
United
| Professional | $346.74 | $501.19 | $1,096.48 |