| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $912.01 | $2,290.87 | |
Cigna
| Facility | $512.86 | $812.83 | $1,148.15 | |
Kaiser Permanente
| Professional | $173.78 | $229.09 | $363.08 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |