| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.52 | $274.52 | $274.52 | |
Cigna
| Facility | $599.00 | $3,995.48 | $6,644.00 | |
Kaiser Permanente
| Professional | $3,430.20 | $4,939.49 | $8,638.39 | |
United
| Facility | $1,541.00 | $2,139.00 | $6,125.00 |