| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1,974.85 | $4,874.84 | |
Cigna
| Facility | $627.00 | $641.21 | $1,490.90 | |
Kaiser Permanente
| Professional | $530.34 | $684.14 | $895.97 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |