| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $812.83 | $812.83 | |
Cigna
| Facility | $602.56 | $630.96 | $1,348.96 | |
Kaiser Permanente
| Professional | $954.99 | $1,122.02 | $1,621.81 | |
United
| Facility | $1,380.38 | $1,380.38 | $2,238.72 |