| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.00 | $1,851.00 | $3,333.00 | |
Cigna
| Facility | $375.00 | $375.00 | $704.00 | |
Kaiser Permanente
| Facility | $650.00 | $650.00 | $650.00 | |
United
| Facility | $400.00 | $453.20 | $1,206.00 |