| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $588.84 | $794.33 | |
Cigna
| Facility | $524.81 | $524.81 | $524.81 | |
Kaiser Permanente
| Facility | $309.03 | $489.78 | $812.83 | |
Pacific Source
| Facility | $549.54 | $660.69 | $660.69 |