| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.35 | $45.18 | $4,420.29 | |
Cigna
| Facility | $339.05 | $507.00 | $5,168.10 | |
Kaiser Permanente
| Professional | $670.48 | $873.70 | $1,329.65 | |
United
| Facility | $2,169.00 | $2,169.00 | $4,028.00 |