| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.35 | $5,219.95 | $10,431.86 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $865.33 | $1,117.10 | $1,493.31 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |