| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $948.29 | $948.29 | $948.29 | |
Cigna
| Facility | $214.31 | $629.00 | $6,644.00 | |
Cigna
| Facility | AS | $20.84 | $20.84 | $20.84 |
Kaiser Permanente
| Professional | $180.32 | $224.88 | $320.56 | |
United
| Facility | $71.00 | $100.00 | $598.00 |