| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $358.61 | $358.61 | $358.61 | |
Cigna
| Facility | $121.72 | $330.00 | $339.05 | |
Kaiser Permanente
| Professional | $537.84 | $693.81 | $916.86 | |
United
| Facility | $36.00 | $36.00 | $41.00 |