| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.45 | $6,398.27 | $14,425.42 | |
Cigna
| Facility | $627.00 | $641.21 | $8,518.93 | |
Kaiser Permanente
| Professional | $936.90 | $1,209.16 | $1,577.94 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |