| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.75 | $831.71 | $1,883.01 | |
Cigna
| Facility | $417.99 | $667.46 | $1,121.33 | |
Kaiser Permanente
| Professional | $290.36 | $383.37 | $557.63 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |