| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.60 | $5,063.00 | $9,232.50 | |
Cigna
| Facility | $458.87 | $458.87 | $458.87 | |
Kaiser Permanente
| Professional | $282.42 | $329.49 | $615.28 | |
United
| Facility | $772.00 | $2,360.00 | $4,066.00 |