| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $4,897.79 | $4,897.79 | |
Cigna
| Facility | $446.68 | $457.09 | $2,884.03 | |
Kaiser Permanente
| Professional | $933.25 | $1,047.13 | $1,778.28 | |
United
| Facility | $776.25 | $977.24 | $2,884.03 |