| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $617.12 | $5,392.12 | $6,802.68 | |
Cigna
| Facility | $715.00 | $3,018.07 | $3,914.00 | |
Kaiser Permanente
| Professional | $532.85 | $675.22 | $993.37 | |
United
| Facility | $1,236.00 | $1,679.00 | $3,590.00 |