| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $711.87 | $754.28 | $7,420.51 | |
Cigna
| Facility | $3,173.57 | $3,173.57 | $3,173.57 | |
Kaiser Permanente
| Professional | $634.74 | $818.81 | $1,353.94 | |
United
| Facility | $10,811.40 | $10,811.40 | $10,811.40 |