| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $46.85 | $6,095.42 | |
Cigna
| Facility | $990.00 | $1,012.17 | $1,490.90 | |
Kaiser Permanente
| Professional | $693.61 | $894.76 | $1,187.17 | |
United
| Facility | $520.00 | $520.00 | $733.00 |