| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.59 | $4,456.10 | $12,725.01 | |
Cigna
| Facility | $445.00 | $453.73 | $18,572.75 | |
Kaiser Permanente
| Professional | $427.19 | $545.04 | $643.76 | |
United
| Facility | $5,502.00 | $5,502.00 | $8,609.00 |