| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $3,609.03 | $13,248.93 | |
Cigna
| Facility | $507.00 | $518.54 | $4,234.91 | |
Kaiser Permanente
| Professional | $873.96 | $1,127.41 | $1,481.36 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |