| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $4,365.16 | $6,606.93 | |
Cigna
| Facility | $630.96 | $645.65 | $1,479.11 | |
Kaiser Permanente
| Professional | $489.78 | $549.54 | $870.96 | |
United
| Facility | $457.09 | $524.81 | $1,621.81 |