| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.05 | $757.82 | $1,885.44 | |
Cigna
| Facility | $599.00 | $634.82 | $1,205.38 | |
Kaiser Permanente
| Professional | $645.79 | $742.67 | $968.70 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |