| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $341.64 | $564.54 | $3,414.28 | |
Cigna
| Facility | $330.00 | $641.21 | $668.69 | |
Kaiser Permanente
| Professional | $578.22 | $753.31 | $1,011.97 | |
United
| Facility | $123.00 | $123.00 | $158.00 |