| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.52 | $64.52 | $8,923.42 | |
Cigna
| Facility | $3,016.21 | $3,016.21 | $3,016.21 | |
Kaiser Permanente
| Professional | $2,762.60 | $3,640.63 | $6,941.42 | |
United
| Facility | $11,668.72 | $11,668.72 | $11,668.72 |