| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.38 | $7,394.16 | $11,201.68 | |
Cigna
| Facility | $715.00 | $728.96 | $4,249.50 | |
Kaiser Permanente
| Professional | $1,351.84 | $1,748.49 | $2,276.78 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |