| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.28 | $2,074.60 | $2,114.33 | |
Cigna
| Facility | $450.24 | $530.82 | $891.79 | |
Kaiser Permanente
| Professional | $400.74 | $577.07 | $890.96 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |