| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $697.49 | $717.27 | $1,932.62 | |
Cigna
| Facility | $445.00 | $453.73 | $791.44 | |
Kaiser Permanente
| Professional | $620.25 | $800.12 | $1,046.10 | |
United
| Facility | $215.00 | $215.00 | $471.00 |