| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.46 | $2,244.00 | $10,335.28 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $755.73 | $982.85 | $1,272.82 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |