| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $831.76 | $7,079.46 | |
Cigna
| Facility | $512.86 | $512.86 | $4,466.84 | |
Kaiser Permanente
| Professional | $645.65 | $741.31 | $1,096.48 | |
United
| Facility | $407.38 | $524.81 | $741.31 |