| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $899.65 | $4,498.89 | $4,498.89 | |
Cigna
| Facility | $445.00 | $453.73 | $791.44 | |
Kaiser Permanente
| Professional | $794.72 | $1,030.89 | $1,338.48 | |
United
| Facility | $215.00 | $215.00 | $471.00 |