| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $407.38 | $3,388.44 | |
Cigna
| Facility | $512.86 | $512.86 | $1,122.02 | |
Kaiser Permanente
| Professional | $346.74 | $407.38 | $616.60 | |
United
| Facility | $144.54 | $213.80 | $467.74 |