| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $3,715.35 | $7,244.36 | |
Cigna
| Facility | $562.34 | $2,691.53 | $3,801.89 | |
Cigna
| Facility | AS | $56.23 | $56.23 | $56.23 |
Kaiser Permanente
| Professional | $281.84 | $363.08 | $524.81 | |
United
| Facility | $1,230.27 | $1,862.09 | $3,630.78 |