| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.21 | $9,244.45 | $13,413.17 | |
Cigna
| Facility | $507.00 | $518.54 | $4,465.41 | |
Kaiser Permanente
| Professional | $1,027.90 | $1,329.67 | $1,731.20 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |