| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.67 | $346.17 | $440.93 | |
Cigna
| Facility | $487.65 | $487.65 | $487.65 | |
Cigna
| Professional | $359.63 | $359.63 | $359.63 | |
Kaiser Permanente
| Professional | $403.46 | $524.51 | $791.92 | |
United
| Professional | $265.39 | $319.23 | $583.38 |