| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.08 | $61.08 | $3,056.41 | |
Cigna
| Facility | $314.00 | $335.55 | $1,018.46 | |
Kaiser Permanente
| Professional | $433.61 | $524.89 | $736.35 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |