| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $3,090.30 | |
Cigna
| Facility | $512.86 | $512.86 | $1,479.11 | |
Kaiser Permanente
| Professional | $630.96 | $724.44 | $1,096.48 | |
United
| Facility | $389.05 | $645.65 | $1,174.90 |