| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.13 | $428.01 | $3,379.50 | |
Cigna
| Facility | $507.00 | $518.54 | $1,134.73 | |
Kaiser Permanente
| Professional | $315.58 | $407.11 | $550.30 | |
United
| Facility | $215.00 | $215.00 | $471.00 |