| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.78 | $812.82 | $5,407.54 | |
Cigna
| Facility | $376.00 | $530.82 | $891.79 | |
Kaiser Permanente
| Professional | $538.64 | $857.72 | $1,336.68 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |