| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $548.13 | $1,104.54 | $4,968.05 | |
Cigna
| Facility | $629.00 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $472.26 | $609.59 | $858.96 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |