| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.17 | $442.17 | $541.29 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $476.41 | $614.57 | $821.54 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |