| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.08 | $458.20 | $2,948.47 | |
Cigna
| Facility | $715.00 | $728.96 | $1,490.90 | |
Kaiser Permanente
| Professional | $485.13 | $625.82 | $820.86 | |
United
| Facility | $520.00 | $520.00 | $733.00 |