| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1,844.68 | $6,316.01 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Kaiser Permanente
| Professional | $704.43 | $908.71 | $1,187.28 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |