| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.50 | $802.00 | $3,146.14 | |
Cigna
| Facility | $508.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $252.20 | $319.39 | $500.54 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |