| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $72.44 | $24,547.09 | |
Cigna
| Facility | $512.86 | $512.86 | $645.65 | |
Kaiser Permanente
| Professional | $63.10 | $72.44 | $134.90 | |
United
| Facility | $36.31 | $40.74 | $128.82 |