| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.14 | $546.35 | $1,407.89 | |
Cigna
| Facility | $376.00 | $530.82 | $891.79 | |
Kaiser Permanente
| Professional | $477.73 | $756.70 | $1,278.91 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |