| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Facility | $707.95 | $724.44 | $1,479.11 | |
Kaiser Permanente
| Professional | $741.31 | $831.76 | $1,318.26 | |
United
| Facility | $588.84 | $676.08 | $2,238.72 |