| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $6,309.57 | |
Cigna
| Facility | $3,090.30 | $3,090.30 | $3,090.30 | |
Kaiser Permanente
| Professional | $891.25 | $1,023.29 | $1,659.59 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |