| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $1,023.29 | $10,000.00 | |
Cigna
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
Kaiser Permanente
| Professional | $812.83 | $933.25 | $1,513.56 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |