| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $1,621.81 | |
Cigna
| Facility | $575.44 | $1,778.28 | $2,511.89 | |
Kaiser Permanente
| Professional | $138.04 | $181.97 | $275.42 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |