| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $3,388.44 | $4,365.16 | |
Cigna
| Facility | $630.96 | $645.65 | $1,479.11 | |
Kaiser Permanente
| Professional | $794.33 | $891.25 | $1,513.56 | |
United
| Facility | $588.84 | $758.58 | $2,238.72 |