| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.88 | $168.81 | $348.68 | |
Cigna
| Facility | $424.00 | $449.41 | $1,018.46 | |
Kaiser Permanente
| Professional | $272.60 | $326.95 | $430.43 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |