| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $891.25 | $1,778.28 | |
Cigna
| Facility | $331.13 | $331.13 | $338.84 | |
Kaiser Permanente
| Professional | $194.98 | $218.78 | $346.74 | |
United
| Facility | $186.21 | $213.80 | $707.95 |