| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.15 | $3,995.11 | $5,407.46 | |
Cigna
| Facility | $582.00 | $1,474.16 | $2,476.59 | |
Kaiser Permanente
| Professional | $440.18 | $543.24 | $769.77 | |
United
| Facility | $717.00 | $964.00 | $2,489.00 |