| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.50 | $226.36 | $1,173.77 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $235.46 | $285.02 | $362.45 | |
United
| Facility | $36.00 | $36.00 | $41.00 |