| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.35 | $621.79 | $9,784.50 | |
Cigna
| Facility | $507.00 | $518.54 | $873.24 | |
Kaiser Permanente
| Professional | $537.00 | $692.73 | $907.79 | |
United
| Facility | $520.00 | $520.00 | $733.00 |