| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $6,947.65 | $19,423.62 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $643.27 | $844.31 | $1,242.17 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |