| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $50.12 | |
Cigna
| Facility | $446.68 | $446.68 | $457.09 | |
Kaiser Permanente
| Professional | $588.84 | $660.69 | $1,071.52 | |
United
| Facility | $478.63 | $575.44 | $1,621.81 |