| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.35 | $401.28 | $3,892.42 | |
Cigna
| Facility | $509.00 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $248.88 | $351.79 | $511.70 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |