| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.41 | $5,587.08 | $17,765.25 | |
Cigna
| Facility | $641.21 | $1,335.00 | $4,385.33 | |
Kaiser Permanente
| Professional | $923.50 | $1,192.33 | $1,564.61 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |