| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $46.77 | $4,786.30 | |
Cigna
| Facility | $512.86 | $512.86 | $1,479.11 | |
Kaiser Permanente
| Professional | $524.81 | $588.84 | $1,071.52 | |
United
| Facility | $478.63 | $524.81 | $1,621.81 |