| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.37 | $160.81 | $1,615.32 | |
Cigna
| Facility | $424.00 | $449.41 | $1,018.46 | |
Kaiser Permanente
| Professional | $139.15 | $160.02 | $222.65 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |