| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,898.00 | $3,444.00 | |
Cigna
| Facility | $201.46 | $201.46 | $201.46 | |
Kaiser Permanente
| Professional | $127.79 | $275.45 | $334.29 | |
United
| Facility | $1,106.00 | $1,106.00 | $1,106.00 |