| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.72 | $4,415.59 | $6,619.78 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $618.54 | $797.93 | $1,048.88 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |