| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.73 | $663.22 | $3,529.48 | |
Cigna
| Facility | $507.00 | $518.54 | $4,426.52 | |
Kaiser Permanente
| Professional | $582.61 | $751.57 | $1,233.42 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |