| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.05 | $5,571.14 | $8,908.04 | |
Cigna
| Facility | $507.00 | $518.54 | $4,509.74 | |
Kaiser Permanente
| Professional | $752.70 | $970.98 | $1,268.58 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |