| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $860.09 | $6,039.03 | |
Cigna
| Facility | $2,064.00 | $2,064.00 | $2,064.00 | |
Kaiser Permanente
| Professional | $643.54 | $855.91 | $1,422.97 | |
United
| Facility | $2,229.00 | $2,229.00 | $2,229.00 |