| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.85 | $2,944.49 | $5,418.11 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $390.02 | $503.13 | $665.46 | |
United
| Facility | $520.00 | $520.00 | $733.00 |