| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.00 | $142.00 | $142.00 | |
Cigna
| Facility | $116.33 | $135.54 | $599.00 | |
Kaiser Permanente
| Professional | $288.89 | $393.42 | $575.89 | |
United
| Facility | $71.00 | $100.00 | $598.00 |