| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.10 | $357.15 | $2,344.76 | |
Cigna
| Facility | $508.00 | $667.46 | $1,121.33 | |
Kaiser Permanente
| Professional | $291.88 | $369.54 | $622.67 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |