| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.80 | $5,245.01 | $7,861.14 | |
Cigna
| Facility | $507.00 | $518.54 | $4,192.58 | |
Kaiser Permanente
| Professional | $756.59 | $976.00 | $1,277.38 | |
United
| Facility | $847.00 | $847.00 | $1,560.00 |