| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.05 | $298.07 | $1,575.53 | |
Cigna
| Facility | $508.00 | $909.33 | $1,530.89 | |
Kaiser Permanente
| Professional | $186.11 | $235.30 | $361.80 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |