| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $1,348.96 | $3,019.95 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Kaiser Permanente
| Professional | $239.88 | $562.34 | $741.31 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |