| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.55 | $3,380.04 | $7,624.07 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $780.20 | $1,006.46 | $1,314.45 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |