| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $956.11 | $5,566.64 | $10,578.18 | |
Cigna
| Facility | $507.00 | $518.54 | $4,312.13 | |
Kaiser Permanente
| Professional | $808.53 | $1,043.00 | $1,362.58 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |