| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $34.67 | $2,454.71 | |
Cigna
| Facility | $1,778.28 | $1,778.28 | $1,778.28 | |
Kaiser Permanente
| Professional | $380.19 | $436.52 | $691.83 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |