| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.59 | $252.41 | $363.12 | |
Cigna
| Facility | $543.42 | $543.42 | $543.42 | |
Cigna
| Professional | $359.63 | $359.63 | $630.55 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $174.16 | $283.23 | $864.79 |