| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $875.50 | $6,345.83 | $10,579.54 | |
Cigna
| Facility | $507.00 | $518.54 | $4,350.72 | |
Kaiser Permanente
| Professional | $920.25 | $1,187.11 | $1,556.34 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |