| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.94 | $5,138.95 | $6,748.57 | |
Cigna
| Facility | $715.00 | $728.96 | $1,490.90 | |
Kaiser Permanente
| Professional | $791.43 | $1,020.94 | $1,337.65 | |
United
| Facility | $520.00 | $520.00 | $733.00 |