| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.78 | $128.49 | $131.97 | |
Cigna
| Facility | $333.15 | $333.15 | $333.15 | |
Kaiser Permanente
| Professional | $306.44 | $518.36 | $676.13 | |
United
| Professional | $122.90 | $176.66 | $2,195.91 |