| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $2,204.35 | $8,168.06 | |
Cigna
| Facility | $507.00 | $518.54 | $3,314.62 | |
Kaiser Permanente
| Professional | $686.99 | $886.22 | $1,174.08 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |