| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.03 | $110.03 | $5,919.82 | |
Cigna
| Facility | $599.00 | $634.82 | $2,609.02 | |
Kaiser Permanente
| Professional | $679.00 | $780.85 | $1,018.50 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |