| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.42 | $7,682.33 | $13,546.66 | |
Cigna
| Facility | $507.00 | $518.54 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,056.06 | $1,362.32 | $1,787.07 | |
United
| Facility | $774.00 | $939.46 | $14,287.46 |