| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.92 | $358.34 | $1,691.28 | |
Cigna
| Facility | $376.00 | $516.15 | $867.13 | |
Kaiser Permanente
| Professional | $252.67 | $378.60 | $575.23 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |