| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.18 | $4,349.09 | $6,380.17 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $665.19 | $858.10 | $1,127.63 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |