| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $2,041.74 | $10,964.78 | |
Cigna
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Kaiser Permanente
| Professional | $147.91 | $169.82 | $316.23 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |