| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.79 | $62.79 | $62.79 | |
Cigna
| Facility | $508.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $229.79 | $290.26 | $447.03 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |