| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $3,311.31 | $8,709.64 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Kaiser Permanente
| Professional | $123.03 | $173.78 | $707.95 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |