| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.00 | $5,172.70 | $9,763.41 | |
Cigna
| Facility | $990.00 | $1,012.17 | $3,314.62 | |
Kaiser Permanente
| Professional | $902.95 | $1,165.83 | $1,650.84 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |