| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.09 | $1,368.15 | $4,096.27 | |
Cigna
| Facility | $1,765.51 | $1,765.51 | $1,765.51 | |
Kaiser Permanente
| Professional | $423.88 | $546.80 | $999.89 | |
United
| Facility | $1,628.00 | $1,628.00 | $1,628.00 |