| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $912.01 | $13,489.63 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $630.96 | $707.95 | $1,230.27 | |
United
| Facility | $36.31 | $40.74 | $457.09 | |
United
| Professional | $371.54 | $794.33 | $1,445.44 |