| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $1,288.25 | $1,737.80 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Kaiser Permanente
| Professional | $208.93 | $446.68 | $575.44 | |
United
| Facility | $354.81 | $1,513.56 | $2,511.89 |