| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.71 | $704.30 | $1,768.04 | |
Cigna
| Facility | $330.00 | $339.05 | $791.44 | |
Kaiser Permanente
| Professional | $208.83 | $269.39 | $352.80 | |
United
| Facility | $215.00 | $471.00 | $701.00 |