| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $3,715.35 | $4,570.88 | |
Cigna
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
Kaiser Permanente
| Professional | $331.13 | $371.54 | $691.83 | |
United
| Facility | $3,715.35 | $3,715.35 | $3,715.35 |