| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $4,466.84 | $4,466.84 | |
Cigna
| Facility | $630.96 | $645.65 | $1,479.11 | |
Kaiser Permanente
| Professional | $436.52 | $478.63 | $851.14 | |
United
| Facility | $407.38 | $645.65 | $2,238.72 |