| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $4,073.80 | $8,511.38 | |
Cigna
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
Kaiser Permanente
| Professional | $724.44 | $831.76 | $1,348.96 | |
United
| Facility | $2,238.72 | $2,238.72 | $2,238.72 |