| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $554.58 | $601.42 | $643.09 | |
Cigna
| Facility | $12,974.82 | $12,974.82 | $12,974.82 | |
Kaiser Permanente
| Professional | $614.04 | $792.11 | $1,326.01 | |
United
| Professional | $552.15 | $792.38 | $1,258.29 |