| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $4,051.32 | $8,645.71 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $848.77 | $1,094.91 | $1,511.27 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |