| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.78 | $1,632.44 | $2,629.13 | |
Cigna
| Facility | $376.00 | $516.15 | $867.13 | |
Kaiser Permanente
| Professional | $119.90 | $152.31 | $271.43 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |