| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $1,584.89 | $1,737.80 | |
Cigna
| Facility | $602.56 | $630.96 | $870.96 | |
Kaiser Permanente
| Professional | $389.05 | $457.09 | $870.96 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,621.81 |