| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.62 | $1,839.85 | $4,591.50 | |
Cigna
| Facility | $582.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $257.37 | $328.15 | $552.91 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |