| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.49 | $45.49 | $2,771.24 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $600.29 | $774.39 | $1,032.09 | |
United
| Facility | $215.00 | $215.00 | $471.00 |