| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $963.85 | $2,284.98 | $3,235.63 | |
Cigna
| Facility | $376.00 | $667.46 | $1,121.33 | |
Kaiser Permanente
| Professional | $227.48 | $332.96 | $523.03 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |