| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,845.92 | $2,308.83 | $2,421.54 | |
Aetna
| Facility | 50 | $0.98 | $2,051.37 | $10,282.94 |
Cigna
| Facility | $2,558.05 | $2,558.05 | $2,558.05 | |
Kaiser Permanente
| Professional | $513.08 | $661.87 | $1,089.77 |