| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $2,416.61 | $5,018.31 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $541.27 | $698.24 | $1,146.72 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |