| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.31 | $3,278.69 | $5,703.08 | |
Cigna
| Facility | $627.00 | $641.21 | $4,285.53 | |
Kaiser Permanente
| Professional | $689.41 | $889.34 | $1,162.78 | |
United
| Facility | $643.00 | $1,185.00 | $2,229.00 |