| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1,114.30 | $6,396.16 | |
Cigna
| Facility | $627.00 | $641.21 | $873.24 | |
Kaiser Permanente
| Professional | $553.03 | $713.41 | $949.70 | |
United
| Facility | $520.00 | $520.00 | $733.00 |