| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.41 | $1,474.87 | $3,612.33 | |
Cigna
| Facility | $509.00 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $115.28 | $146.66 | $495.42 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |