| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $870.96 | $12,882.50 | |
Cigna
| Facility | $8,128.31 | $8,128.31 | $8,128.31 | |
Kaiser Permanente
| Professional | $457.09 | $512.86 | $954.99 | |
United
| Facility | $5,888.44 | $5,888.44 | $5,888.44 |