| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $5,495.41 | $5,495.41 | |
Cigna
| Facility | $446.68 | $457.09 | $1,479.11 | |
Kaiser Permanente
| Professional | $812.83 | $891.25 | $1,659.59 | |
United
| Facility | $588.84 | $794.33 | $2,238.72 |