| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $5,495.41 | $8,128.31 | |
Cigna
| Facility | $512.86 | $512.86 | $512.86 | |
Kaiser Permanente
| Professional | $660.69 | $724.44 | $1,202.26 | |
United
| Facility | $630.96 | $851.14 | $2,884.03 |