| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.00 | $574.00 | $574.00 | |
Cigna
| Facility | $325.00 | $486.00 | $725.00 | |
Kaiser Permanente
| Facility | $550.00 | $550.00 | $550.00 | |
United
| Facility | $504.00 | $504.00 | $1,206.00 |