| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.15 | $301.25 | $532.38 | |
Cigna
| Facility | $260.83 | $395.00 | $1,652.00 | |
Kaiser Permanente
| Professional | $235.60 | $369.85 | $547.19 | |
United
| Facility | $71.00 | $100.00 | $598.00 |