| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.11 | $5,445.16 | $8,885.41 | |
Cigna
| Facility | $507.00 | $641.21 | $4,582.96 | |
Kaiser Permanente
| Professional | $701.27 | $904.64 | $1,501.30 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |