| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $5,170.00 | $6,302.66 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $700.89 | $904.15 | $1,319.45 | |
United
| Facility | $520.00 | $520.00 | $733.00 |