| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $4,834.79 | $11,425.29 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $823.68 | $1,062.55 | $1,410.75 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |