| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Aetna
| Professional | $406.85 | $6,249.99 | $6,249.99 | |
Cigna
| Professional | $530.17 | $766.33 | $2,462.71 | |
Kaiser Permanente
| Professional | $569.24 | $620.99 | $724.49 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 | |
United
| Professional | $427.92 | $621.15 | $803.41 |