| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $380.19 | $3,090.30 | |
Aetna
| Professional | $354.81 | $380.19 | $407.38 | |
Cigna
| Facility | $812.83 | $851.14 | $1,905.46 | |
Cigna
| Professional | $524.81 | $524.81 | $660.69 | |
Kaiser Permanente
| Professional | $870.96 | $870.96 | $870.96 | |
United
| Facility | $602.56 | $602.56 | $602.56 | |
United
| Professional | $213.80 | $302.00 | $630.96 |