| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $5,011.87 | $16,595.87 | |
Cigna
| Facility | $512.86 | $512.86 | $512.86 | |
Kaiser Permanente
| Professional | $707.95 | $794.33 | $1,258.93 | |
United
| Facility | $676.08 | $1,000.00 | $3,548.13 |