| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.72 | $48.40 | $2,920.91 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $777.43 | $1,030.36 | $1,350.23 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |