| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $5,011.87 | $5,011.87 | |
Cigna
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Kaiser Permanente
| Professional | $870.96 | $1,000.00 | $1,584.89 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |