| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $63.10 | |
Cigna
| Facility | $512.86 | $812.83 | $933.25 | |
Kaiser Permanente
| Professional | $181.97 | $239.88 | $363.08 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |