| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $5,370.32 | $10,715.19 | |
Cigna
| Facility | $173.78 | $173.78 | $173.78 | |
Kaiser Permanente
| Professional | $89.13 | $125.89 | $549.54 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |