| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $3,311.31 | $5,754.40 | |
Cigna
| Facility | $630.96 | $630.96 | $645.65 | |
Kaiser Permanente
| Professional | $645.65 | $707.95 | $1,148.15 | |
United
| Facility | $588.84 | $645.65 | $2,238.72 |