| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.02 | $287.02 | $287.02 | |
Cigna
| Facility | $330.00 | $339.05 | $791.44 | |
Kaiser Permanente
| Professional | $490.91 | $633.27 | $838.27 | |
United
| Facility | $36.00 | $36.00 | $41.00 |