| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $1,122.02 | $2,691.53 | |
Cigna
| Facility | $407.38 | $776.25 | $954.99 | |
Kaiser Permanente
| Professional | $186.21 | $245.47 | $380.19 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |