| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $4,073.80 | $8,709.64 | |
Cigna
| Facility | $512.86 | $512.86 | $512.86 | |
Kaiser Permanente
| Professional | $489.78 | $537.03 | $977.24 | |
United
| Facility | $478.63 | $645.65 | $2,238.72 |