| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.05 | $505.49 | $616.58 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $521.13 | $689.41 | $1,056.50 | |
United
| Facility | $36.00 | $36.00 | $41.00 |