| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.65 | $6,392.11 | $9,736.23 | |
Cigna
| Facility | $507.00 | $518.54 | $4,260.08 | |
Kaiser Permanente
| Professional | $698.90 | $901.58 | $1,181.94 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |