| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.59 | $462.13 | $4,958.26 | |
Cigna
| Facility | $450.24 | $530.82 | $891.79 | |
Kaiser Permanente
| Professional | $309.39 | $486.20 | $724.05 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |