| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.52 | $265.52 | $265.52 | |
Cigna
| Facility | $134.12 | $599.00 | $2,530.00 | |
Kaiser Permanente
| Professional | $113.60 | $142.08 | $240.77 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |