| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $891.25 | $891.25 | |
Aetna
| Professional | $446.68 | $741.31 | $1,071.52 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Kaiser Permanente
| Professional | $1,148.15 | $1,230.27 | $1,348.96 | |
United
| Facility | $8,511.38 | $10,000.00 | $11,481.54 | |
United
| Professional | $758.58 | $812.83 | $2,041.74 |