| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $524.81 | |
Cigna
| Facility | $630.96 | $645.65 | $1,479.11 | |
Kaiser Permanente
| Professional | $457.09 | $512.86 | $812.83 | |
United
| Facility | $426.58 | $645.65 | $2,238.72 |