| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $9,333.93 | $17,008.84 | |
Cigna
| Facility | $445.00 | $453.73 | $4,301.84 | |
Kaiser Permanente
| Professional | $686.61 | $885.73 | $1,387.07 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |