| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.31 | $3,114.29 | $5,976.28 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $1,043.98 | $1,346.73 | $1,784.66 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |