| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.92 | $4,440.33 | $7,736.63 | |
Cigna
| Facility | $445.00 | $453.73 | $1,490.90 | |
Kaiser Permanente
| Professional | $743.20 | $958.73 | $1,275.94 | |
United
| Facility | $215.00 | $471.00 | $701.00 |