| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.66 | $266.07 | $1,983.44 | |
Cigna
| Facility | $582.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $219.18 | $280.06 | $467.68 | |
United
| Facility | $418.00 | $525.00 | $1,330.00 |