| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $51.92 | $6,289.39 | |
Cigna
| Facility | $445.00 | $453.73 | $4,514.60 | |
Kaiser Permanente
| Professional | $745.22 | $961.33 | $1,262.88 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |