| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $716.54 | $716.54 | $764.77 | |
Cigna
| Facility | $582.00 | $2,754.30 | $3,914.00 | |
Kaiser Permanente
| Professional | $623.42 | $789.59 | $1,107.76 | |
United
| Facility | $1,234.00 | $1,773.00 | $3,590.00 |