| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.77 | $1,278.00 | $1,740.00 | |
Cigna
| Facility | $221.47 | $221.47 | $221.47 | |
Kaiser Permanente
| Professional | $212.64 | $373.63 | $555.04 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |