| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $5,162.06 | $10,807.31 | |
Cigna
| Facility | $627.00 | $641.21 | $8,919.31 | |
Kaiser Permanente
| Professional | $819.93 | $1,057.71 | $1,401.63 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 |