| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $812.83 | $3,388.44 | |
Cigna
| Facility | $512.86 | $1,318.26 | $1,862.09 | |
Kaiser Permanente
| Professional | $234.42 | $363.08 | $501.19 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |