| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.74 | $3,654.26 | $5,577.35 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $661.30 | $853.08 | $1,115.81 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |