| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $355.12 | $870.31 | $1,306.78 | |
Cigna
| Facility | $538.05 | $538.05 | $538.05 | |
Kaiser Permanente
| Professional | $370.23 | $448.18 | $584.58 | |
United
| Professional | $311.39 | $406.01 | $714.09 |