| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $5,248.07 | $5,888.44 | |
Cigna
| Facility | $1,348.96 | $1,348.96 | $1,479.11 | |
Kaiser Permanente
| Professional | $676.08 | $794.33 | $1,202.26 | |
United
| Facility | $407.38 | $524.81 | $741.31 |