| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $723.72 | $723.72 | $723.72 | |
Cigna
| Facility | $582.00 | $746.53 | $1,254.76 | |
Kaiser Permanente
| Professional | $616.49 | $887.75 | $1,362.59 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |