| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.85 | $3,415.09 | $11,768.01 | |
Cigna
| Facility | $627.00 | $641.21 | $9,366.70 | |
Kaiser Permanente
| Professional | $780.64 | $1,007.03 | $1,316.74 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |