| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.75 | $35.75 | $3,919.61 | |
Cigna
| Facility | $330.00 | $339.05 | $791.44 | |
Kaiser Permanente
| Professional | $338.06 | $436.10 | $640.89 | |
United
| Facility | $520.00 | $733.00 | $1,628.00 |