| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.77 | $4,555.26 | $6,656.40 | |
Cigna
| Facility | $445.00 | $453.73 | $873.24 | |
Kaiser Permanente
| Professional | $455.90 | $588.11 | $768.67 | |
United
| Facility | $520.00 | $520.00 | $733.00 |