| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $5,371.82 | $13,180.38 | |
Cigna
| Facility | $330.00 | $339.05 | $1,490.90 | |
Kaiser Permanente
| Professional | $784.72 | $1,012.29 | $1,348.78 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |