| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.37 | $732.03 | $9,850.45 | |
Cigna
| Facility | $507.00 | $518.54 | $3,314.62 | |
Kaiser Permanente
| Professional | $647.16 | $834.84 | $1,092.77 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |