| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1,239.27 | $4,810.63 | |
Cigna
| Facility | $582.00 | $3,628.24 | $6,297.82 | |
Kaiser Permanente
| Professional | $438.61 | $559.79 | $946.59 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |