| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.00 | $714.00 | $714.00 | |
Cigna
| Facility | $445.00 | $451.23 | $453.73 | |
Kaiser Permanente
| Professional | $346.38 | $448.66 | $619.10 | |
United
| Facility | $123.00 | $123.00 | $158.00 |