| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.84 | $1,059.67 | $2,261.76 | |
Cigna
| Facility | $682.00 | $722.49 | $1,018.46 | |
Kaiser Permanente
| Professional | $797.06 | $964.86 | $1,258.52 | |
United
| Facility | $1,009.00 | $1,009.00 | $4,665.92 |