| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $2,630.27 | $5,623.41 | |
Cigna
| Facility | $575.44 | $812.83 | $1,148.15 | |
Cigna
| Facility | 22 | $549.54 | $549.54 | $549.54 |
Kaiser Permanente
| Professional | $204.17 | $269.15 | $398.11 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |