| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $821.96 | $1,677.20 | $4,810.35 | |
Cigna
| Facility | $485.00 | $513.90 | $1,018.46 | |
Kaiser Permanente
| Professional | $861.33 | $1,031.14 | $1,359.99 | |
United
| Facility | $1,009.00 | $1,009.00 | $1,009.00 |