| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $831.76 | $831.76 | |
Cigna
| Facility | $123.03 | $331.13 | $338.84 | |
Kaiser Permanente
| Professional | $501.19 | $575.44 | $812.83 | |
United
| Facility | $36.31 | $40.74 | $323.59 |