| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.46 | $2,076.44 | $5,158.49 | |
Cigna
| Facility | $508.00 | $1,966.73 | $2,516.64 | |
Kaiser Permanente
| Professional | $342.29 | $433.15 | $714.92 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |