| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.10 | $5,760.65 | $9,891.84 | |
Cigna
| Facility | $1,335.00 | $1,335.00 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,364.07 | $1,789.76 | $2,297.38 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |