| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $2,013.42 | $3,415.46 | |
Cigna
| Facility | $445.00 | $453.73 | $1,490.90 | |
Kaiser Permanente
| Professional | $547.16 | $705.85 | $939.65 | |
United
| Facility | $520.00 | $733.00 | $1,628.00 |