| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $2,182.91 | $6,883.68 | |
Cigna
| Facility | $627.00 | $641.21 | $4,514.89 | |
Kaiser Permanente
| Professional | $816.83 | $1,053.71 | $1,395.34 | |
United
| Facility | $520.00 | $520.00 | $733.00 |