| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.47 | $170.28 | $325.77 | |
Cigna
| Facility | $8,105.00 | $25,173.00 | $26,344.00 | |
Kaiser Permanente
| Professional | $185.98 | $216.97 | $495.31 | |
United
| Facility | $450.00 | $1,550.00 | $2,506.00 |