| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.34 | $936.32 | $3,546.11 | |
Cigna
| Facility | $509.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $217.82 | $275.92 | $458.60 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |