| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $879.66 | $879.66 | $5,970.12 | |
Cigna
| Facility | $330.00 | $339.05 | $1,134.73 | |
Kaiser Permanente
| Professional | $440.71 | $568.52 | $745.02 | |
United
| Facility | $520.00 | $520.00 | $733.00 |