| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $5,521.00 | $8,380.00 | |
Cigna
| Facility | $1,650.00 | $5,058.00 | $5,521.00 | |
Kaiser Permanente
| Facility | $110.00 | $275.00 | $25,886.78 | |
United
| Facility | $1,200.00 | $1,602.00 | $5,309.00 |