| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.02 | $52.02 | $12,927.74 | |
Cigna
| Facility | $445.00 | $453.73 | $4,753.97 | |
Kaiser Permanente
| Professional | $880.16 | $1,135.41 | $1,500.82 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |