| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.53 | $3,919.61 | $9,882.12 | |
Cigna
| Facility | $445.00 | $453.73 | $3,314.62 | |
Kaiser Permanente
| Professional | $861.81 | $1,111.73 | $1,470.53 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |