| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $398.11 | $1,202.26 | |
Cigna
| Facility | $380.19 | $457.09 | $660.69 | |
Kaiser Permanente
| Professional | $208.93 | $380.19 | $512.86 | |
United
| Facility | $213.80 | $331.13 | $1,000.00 |