| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $3,981.07 | $39,810.72 | |
Cigna
| Facility | $389.05 | $389.05 | $389.05 | |
Kaiser Permanente
| Professional | $199.53 | $281.84 | $741.31 | |
United
| Facility | $676.08 | $1,479.11 | $2,691.53 |